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XTRA CARE PHARMACY INC NPI 1184063455


NPI Information

NPI: 1184063455
Provider Name: XTRA CARE PHARMACY INC

Doing Business As: XTRA CARE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
6520 US HIGHWAY 301 S STE 106
RIVERVIEW, FL
ZIP 33578
Phone: (813) 280-0927
Get Directions

XTRA CARE PHARMACY INC is a community/retail pharmacy pharmacy in Riverview, FL. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. XTRA CARE PHARMACY INC NPI is 1184063455. The provider is registered as an organization entity type.
The provider Is Doing Business As Xtra Care Pharmacy.

The provider's business location address is:

6520 US HIGHWAY 301 S STE 106
RIVERVIEW, FL
ZIP 33578-324
Phone: (813) 280-0927
Fax: (813) 677-4500

The provider's authorized official is Mildred Peterside .
The authorized official title is Owner/pic and has the following contact phone number (813) 598-0593.

The enumeration date for this NPI number is 6/20/2013 and was last updated on 2/17/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyPH26712FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1009181900MEDICAIDFLORIDA
22140629OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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