MEDICARE: RS COMPOUNDING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0004X	Compounding Pharmacy
2	3336S0011X	Specialty Pharmacy
3	3336C0003X	Community/Retail Pharmacy	PH20981	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2004099	OTHER		PK

General Provider Information

NPI Number	:	1265554562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RS COMPOUNDING LLC

Provider Business Mailing Address
First Line	:	12617 RACE TRACK RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-1331
Country	:	US
Telephone Number	:	813-925-8200
Fax Number	:	813-925-8933

Provider Business Practice Location Address
First Line	:	12617 RACE TRACK RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-1331
Country	:	US
Telephone Number	:	813-925-8200
Fax Number	:	813-925-8933

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	RENIER GOBEA
Credential	:
Telephone Number	:	813-925-8200

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	04/16/2015

Similar Medicare Providers

1699524124 — RESTORE PHARMA, LLC
Practice Location Address:

12617 RACE TRACK RD
TAMPA, FL
33626-1331

Practice Phone: 813-463-8009
Practice Fax: 813-463-8002

1528124393 — ROBIN GALLEY PT
Practice Location Address:

12625 RACE TRACK RD
TAMPA, FL
33626-1331

Practice Phone: 813-343-5500
Practice Fax: 813-343-5506

1790841542 — JODY RAPPAPORT M PT
Practice Location Address:

12625 RACE TRACK RD
TAMPA, FL
33626-1331

Practice Phone: 813-343-5500
Practice Fax: 813-343-5506

1619033461 — LORI LEBARNES PT
Practice Location Address:

12625 RACE TRACK RD
TAMPA, FL
33626-1331

Practice Phone: 813-343-5500
Practice Fax: 813-343-5506

1376742254 — DANIEL PICK PHARM. D.
Practice Location Address:

12617 RACE TRACK RD
TAMPA, FL
33626-1331

Practice Phone: 813-925-8200
Practice Fax: 813-925-8933

1245439132 — STEPHEN CADDICK PHARM. D.
Practice Location Address:

12617 RACE TRACK RD
TAMPA, FL
33626-1331

Practice Phone: 813-925-8200
Practice Fax: 813-925-8933

Directions to “RS COMPOUNDING LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.