H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.
NPI 1023756475
Pharmacy - Specialty Pharmacy in Tampa, FL

NPI Status: Active since May 25, 2022

Contact Information

12902 USF MAGNOLIA DRIVE
MAILSTOP: MCC-PHARM
TAMPA, FL
ZIP 33612
Phone: (813) 745-7354
Fax: (813) 745-1484

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  • Organization
  • Pharmacy
  • Specialty Pharmacy
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.

This page provides the complete NPI Profile along with additional information for H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc., a provider established in Tampa, Florida operating as a Pharmacy, focusing in specialty pharmacy . The healthcare provider is registered in the NPI registry with number 1023756475 assigned on May 2022. The practitioner's primary taxonomy code is 3336S0011X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Sophia Mariela Alfonso Pharmd (Pharmacy Manager)

NPI
1023756475
Provider Name
H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.
Entity Type
Organization
Location Address
12902 USF MAGNOLIA DRIVE MAILSTOP: MCC-PHARM TAMPA, FL 33612
Location Phone
(813) 745-7354
Location Fax
(813) 745-1484
Mailing Address
12902 USF MAGNOLIA DRIVE MAILSTOP: MCC-PHARM TAMPA, FL 33612
Mailing Phone
(813) 745-7354
Mailing Fax
(813) 745-1484
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2022
Last Update Date
05-25-2022
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H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc. is a medicare supplier with PTAN 20529893 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Specialty Pharmacy

Taxonomy Code
3336S0011X
Type
Suppliers
Taxonomy Description
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SOPHIA MARIELA ALFONSO PHARMD

Authorized Official Title
PHARMACY MANAGER
Authorized Official Phone
(813) 745-6085

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
109430100MEDICAID (05)FL 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20529893
Accepts Medicare Assignment
NO
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs

Reviews for H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023756475
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
204314512414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 4 + 5 + 1 + 2 + 4 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1023756475 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427633759 ADAM DODD APRN
Individual
Nurse Practitioner12902 USF MAGNOLIA DRIVE
TAMPA, FL 33612
(813) 745-4673
1679258958 NATALIE JEAN HORBACK PA-C
Individual
Physician Assistant12902 USF MAGNOLIA DRIVE
TAMPA, FL 33612
(813) 745-4673
1851131882MR. OSAMAH JAMAL S JARALLAH MD
Individual
Student in an Organized Health Care Education/Training Program12902 USF MAGNOLIA DRIVE CSB2-GME
TAMPA, FL 33612
(813) 745-2069
1932621968 REBECCA RAFFOUL PA-C
Individual
Physician Assistant12902 USF MAGNOLIA DRIVE
TAMPA, FL 33612
(813) 746-7365
1740881796 DAQUANDA ARNETT
Individual
Nurse Anesthetist, Certified Registered12902 USF MAGNOLIA DRIVE
TAMPA, FL 33612
(813) 745-7365
1578562575DR. BRUCE M WENIG M.D.
Individual
Pathology (Anatomic Pathology)12902 USF MAGNOLIA DRIVE MOFFITT CANCER CENTER - 2ND FLOOR, RM 2049
TAMPA, FL 33612
(813) 745-2213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023756475, enumerated in the NPI registry as an "organization" on May 25, 2022

The provider is located at 12902 Usf Magnolia Drive Mailstop: Mcc-pharm Tampa, Fl 33612 and the phone number is (813) 745-7354

This medical organization specializes in Pharmacy with taxonomy code 3336S0011X with a focus in Specialty Pharmacy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 25, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.