Healthcare Provider Details

I. General information

NPI: 1992132377
Provider Name (Legal Business Name): STRIVE PHARMACY TAMPA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2013
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5505 JOHNS ROAD SUITE 700
TAMPA FL
33634
US

IV. Provider business mailing address

5505 JOHNS ROAD SUITE 700
TAMPA FL
33634
US

V. Phone/Fax

Practice location:
  • Phone: 813-644-7700
  • Fax: 813-644-7067
Mailing address:
  • Phone: 813-644-7700
  • Fax: 813-644-7067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License NumberPH27068
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL WALKER
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 480-646-4366