Active NPI
Veterans Pharmacy Inc
- Community/Retail Pharmacy
- Temple Terrace, FL
National Provider Identifier
1972896314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH25462
- Legal business name
- VETERANS PHARMACY INC
- Doing business as
- Veterans Pharmacy, Inc
- Practice address
- 11434 N 53Rd St
Temple Terrace, FL 33617-2216 - Phone
- (813) 964-6881
- Fax
- (813) 964-6890
- NPI assigned
- May 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victor Ubani
- Title
- Manager
- Phone
- (813) 964-6881
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH25462 | FL | Primary |
Addresses
Primary practice location
11434 N 53Rd St
Temple Terrace, FL 33617-2216
Mailing address
PO Box 16722
Tampa, FL 33687-6722
Phone (813) 964-6881
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2130215 | Other | PK | |
| 003899000 | Medicaid | FL |
Other names 1
- VETERANS PHARMACY, INC
National Provider Directory
National Provider DirectoryLocations
11434 N 53rd St
Temple Terrace, FL 33617
Phone (813) 341-7900
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488153600000",
"number": "1972896314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16722",
"city": "TAMPA",
"state": "FL",
"postal_code": "336876722",
"telephone_number": "813-964-6881",
"fax_number": "813-964-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11434 N 53RD ST",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336172216",
"telephone_number": "813-964-6881",
"fax_number": "813-964-6890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VETERANS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-18",
"last_updated": "2017-02-27",
"status": "A",
"authorized_official_last_name": "UBANI",
"authorized_official_first_name": "VICTOR",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "813-964-6881"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH25462",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2130215",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003899000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VETERANS PHARMACY, INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.