MEDICARE: NORTH TAMPA PHARMACY INC

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	3336L0003X	Long Term Care Pharmacy	PH23820	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	2118838	OTHER	PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912146507
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH TAMPA PHARMACY INC

Provider Business Mailing Address
First Line	:	PO BOX 17175
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33682-7175
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6634 RIDGE RD
Second Line	:
City	:	PORT RICHEY
State	:	FL
Zip	:	34668-6837
Country	:	US
Telephone Number	:	727-387-8228
Fax Number	:	888-814-4575

Authorized Official
Title or Position	:	CFO
Name	:	STEPHEN O BANJOKO
Credential	:
Telephone Number	:	813-341-4000

Provider Enumeration Date	:	02/05/2009
Last Update Date	:	01/21/2026

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Directions to “NORTH TAMPA PHARMACY INC ” Practice Location

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