NPIMap

Organization Active NPI

Medication Health Center LLC

  • Pharmacist
  • Brandon, FL
National Provider Identifier
1972903086
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS49406 Issued in FL
Legal business name
MEDICATION HEALTH CENTER LLC
Practice address
150 E Bloomingdale Ave
Suite 164
Brandon, FL 33511-8151
Phone
(813) 360-0528
Fax
(855) 771-3086
NPI assigned
Aug 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ibukun Adetula, PHARMDNPI 1326447301
Title
President
Phone
(813) 360-0528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PS49406 FL Primary

Addresses

Primary practice location

150 E Bloomingdale Ave
Suite 164
Brandon, FL 33511-8151

Mailing address

150 E Bloomingdale Ave
Suite 164
Brandon, FL 33511-8151
Phone (813) 360-0528

Other names 1

  • Medication Health Center Other name

National Provider Directory

National Provider Directory

Locations

150 E Bloomingdale Ave
Ste 164
Brandon, FL 33511
Phone (813) 360-0528

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1972903086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E BLOOMINGDALE AVE",
            "address_2": "SUITE 164",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118151",
            "telephone_number": "813-360-0528",
            "fax_number": "855-771-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E BLOOMINGDALE AVE",
            "address_2": "SUITE 164",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118151",
            "telephone_number": "813-360-0528",
            "fax_number": "855-771-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICATION HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "ADETULA",
        "authorized_official_first_name": "IBUKUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-360-0528",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medication Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.