MEDICARE: BELL PHARMACY 008 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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1871448977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELL PHARMACY 008 LLC

Provider Business Mailing Address
First Line	:	2251 DREW ST STE B
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765-3306
Country	:	US
Telephone Number	:	407-760-7351
Fax Number	:

Provider Business Practice Location Address
First Line	:	2251 DREW ST STE B
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765-3306
Country	:	US
Telephone Number	:	407-760-7351
Fax Number	:

Authorized Official
Title or Position	:	ADMIN
Name	:	JACOB VANDEVENTER
Credential	:	PHARMD
Telephone Number	:	407-760-7351

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “BELL PHARMACY 008 LLC ” Practice Location

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