Healthcare Provider Details

I. General information

NPI: 1912334384
Provider Name (Legal Business Name): TATA COMPANIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2013
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10815 N NEBRASKA AVE
TAMPA FL
33612-6816
US

IV. Provider business mailing address

PO BOX 17175
TAMPA FL
33682-7175
US

V. Phone/Fax

Practice location:
  • Phone: 813-234-4200
  • Fax: 866-828-9508
Mailing address:
  • Phone: 813-234-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH27314
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN O BANJOKO
Title or Position: CFO
Credential:
Phone: 813-341-4000