Pca Florida Rx, LLC
Pharmacy, Long Term Care Pharmacy in Riverview, FL. Organization (NPI-2).
NPI number1164050761
StatusActive
Last updated in NPPESMar 6, 2025
Details
- NPI
- 1164050761
- Entity type
- Organization (NPI-2)
- Legal business name
- Pca Florida Rx, LLC
- Organization subpart
- No
- Enumeration date
- Mar 30, 2020
- Certification date
- Mar 6, 2025
- Last updated
- Mar 6, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
Other names
- Pca Tampa Pharmacy (Doing Business As)
- Synchrony Tampa Pharmacy (Doing Business As)
Practice location
4011 Crescent Park DrRiverview, FL 33578-3605
Phone 813-499-9340
Mailing address
303 N Hurstbourne Pkwy Ste 200Louisville, KY 40222-5158
Phone 813-499-9340
Authorized official
David Davis
President
5024125847
Is something wrong?
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