BRANDON PHARMACY – NPI #1013382662
Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

BRANDON PHARMACY is a pharmacy located in BRANDON, FL. NPPES has assigned the NPI number 1013382662 to BRANDON PHARMACY on December 08, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRANDON PHARMACY” is a dba name, the actual legal business name for this organization is NIA RX SERVICES LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 4 years ago on Feb 22, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRANDON PHARMACY below.

NPI Profile for
NIA RX SERVICES LLC

NPI Number
1013382662
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NIA RX SERVICES LLC
Doing Business As (dba): BRANDON PHARMACY
Primary location
500 VONDERBURG DR STE 113W
BRANDON, FL 33511-5969
Phone: (813) 684-4444 Fax: (813) 684-3444
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FALGUN PATEL
MANAGER
Phone: (813) 420-5436
Updated
Certification Date
Feb 22, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BRANDON PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPK2156208
MEDICAIDFL016753800
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
FL PH29589
333600000X
- Pharmacy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.