Active NPI
Johns Hopkins All Children'S Outpatient Care, Tampa
- Community/Retail Pharmacy
- Tampa, FL
National Provider Identifier
1992710503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH13837
- Legal business name
- JOHNS HOPKINS ALL CHILDREN'S OUTPATIENT CARE, TAMPA
- Practice address
- 12220 Bruce B Downs Blvd
Tampa, FL 33612-9201 - Phone
- (813) 631-5006
- Fax
- (813) 631-5094
- NPI assigned
- Jul 30, 2006
- 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
- Kristy Alicia Schulhof
- Title
- President
- Phone
- (727) 898-7451
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH13837 | FL | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
12220 Bruce B Downs Blvd
Tampa, FL 33612-9201
Mailing address
12220 Bruce B Downs Blvd
Dept# 6500101608
Tampa, FL 33612-9201
Phone (813) 631-5006
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103700500 | Medicaid | FL | |
| 103700501 | Medicaid | FL | |
| 2009761 | Other | PK |
Other names 1
- Johns Hopkins All Children's Outpatient Care, Tampa
National Provider Directory
National Provider Directory- Tax ID family
- All Childrens Hosp ESRD
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650499200000",
"number": "1992710503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12220 BRUCE B DOWNS BLVD",
"address_2": "DEPT# 6500101608",
"city": "TAMPA",
"state": "FL",
"postal_code": "336129201",
"telephone_number": "813-631-5006",
"fax_number": "813-631-5094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12220 BRUCE B DOWNS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336129201",
"telephone_number": "813-631-5006",
"fax_number": "813-631-5094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNS HOPKINS ALL CHILDREN'S OUTPATIENT CARE, TAMPA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A",
"authorized_official_last_name": "SCHULHOF",
"authorized_official_first_name": "KRISTY",
"authorized_official_middle_name": "ALICIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-898-7451"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH13837",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103700500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103700501",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2009761",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Johns Hopkins All Children's Outpatient Care, Tampa",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Johns Hopkins All Children's Outpatient Care, Tampa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.