Kabs of Tampa Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH18088 Issued in FL

Legal business name

KABS OF TAMPA INC

Practice address

2812 E Bearss Ave
Tampa, FL 33613-2653

Phone

(813) 988-4000

Fax

(813) 849-1138

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Olabode Ishola, RPHNPI 1720687999

Title

President

Phone

(813) 988-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KABS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Kabs of Tampa Inc

  • Long Term Care Pharmacy
  • Tampa, FL
  • NPI 1649798356
  NPPES parent name

Practitioners 2

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

• Olabode Ishola, RPH

  • Pharmacist
  • Tampa, FL
  • NPI 1720687999
  NPD Authorized official
• Kolawole Ishola, RPH

  • Pharmacist
  • Tampa, FL
  • NPI 1891394185
  NPD

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1992725485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 E BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132653",
            "telephone_number": "813-988-4000",
            "fax_number": "813-849-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 E BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132653",
            "telephone_number": "813-988-4000",
            "fax_number": "813-849-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KABS OF TAMPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "ISHOLA",
        "authorized_official_first_name": "OLABODE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-988-4000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH18088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1093715",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KABS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Albert Mayombo Kabemba, M.D.
• Kabs Goodwill, LLC
• Kabs Goodwill, LLC
• Kabs of Florida
• Kabs of Tampa Inc
• Michael Kachmar, DO
• Cindy Lou Kacinko, ARNP
• Heather N. Kacos, PSY.D.
• Cheri Kaczmarek, RDN
• Sajid Ud Din Kadir, MD

• Community/Retail Pharmacy in Tampa, FL
• Providers in Tampa, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.