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

Active since May 25, 2022CLIA Certified · 5 labs
12902 USF MAGNOLIA DRIVE, MAILSTOP: MCC-PHARM, TAMPA, FL 33612(813) 745-7354(813) 745-1484 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC. (NPI 1023756475), doing business as Clinic Pharmacy, is a healthcare organization registered as a specialty pharmacy in Tampa, Florida and active in the NPI registry since May 2022. The organization holds 5 active CLIA laboratory certificates and lists Sophia Mariela Alfonso, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1023756475
Entity TypeOrganization
Primary Taxonomy3336S0011X
Legal Business NameH. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.
Location Address12902 USF MAGNOLIA DRIVE, MAILSTOP: MCC-PHARMTampa, FL 33612
Mailing Address12902 Usf Magnolia Drive, Mailstop: Mcc-pharmTampa, FL 33612 · (813) 745-7354 · Fax (813) 745-1484
Phone(813) 745-7354
Fax(813) 745-1484
Organization SubpartNo
Authorized OfficialSophia Mariela AlfonsoPharmacy Manager · (813) 745-6085
Enumeration DateMay 25, 2022
NPPES CertifiedMay 9, 2022
✔ NPI 1023756475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Specialty PharmacySuppliers
Taxonomy Code3336S0011X
Definition
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.
12902 USF MAGNOLIA DRIVE, Tampa, FL 33612
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Other Names 1

Doing Business AsClinic Pharmacy

Other Identifiers 1

Medicaid109430100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Nebraska and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D2283811

H Lee Moffitt Cancer Center And Research Institute Hospital Inc · Tampa, FL
Active · expires Jul 9, 2028
CLIA Number10D2283811
Laboratory TypeHospital
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorDr. Elizabeth M. Sagatys
Laboratory Phone(813) 745-6309
Laboratory LocationH Lee Moffitt Cancer Center And Research Institute Hospital Inc10901 Mckinley Drive 2nd Floor Mmh-Lab, Tampa, FL 33612
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 10D2284093

H Lee Moffitt Cancer Center And Research Institute Hospital Inc · Tampa, FL
Active · expires May 21, 2028
CLIA Number10D2284093
Laboratory TypeHospital
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorDr. Glen L. Hortin
Laboratory Phone(813) 745-5193
Laboratory LocationH Lee Moffitt Cancer Center And Research Institute Hospital Inc10901 Mckinley Dr 4th Floor Respiratory Care, Tampa, FL 33612
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 10D2242098

H Lee Moffitt Cancer Center And Research Institute Hospital, Inc · Tampa, FL
Active · expires Nov 3, 2027
CLIA Number10D2242098
Laboratory TypeEmployee Health Clinic
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorJohn Greene
Laboratory Phone(813) 745-6899
Laboratory LocationH Lee Moffitt Cancer Center And Research Institute Hospital, Inc10902 Mckinley Dr Suite 100, Tampa, FL 33612
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2286547

H Lee Moffitt Cancer Center And Research Institute Hospital, Inc · Tampa, FL
Active · expires Jul 31, 2027
CLIA Number10D2286547
Laboratory TypeHospital
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorKelley S. Gonzalvo
Laboratory Phone(813) 745-1378
Laboratory LocationH Lee Moffitt Cancer Center And Research Institute Hospital, Inc10901 Mckinley Dr, Tampa, FL 33612
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0712828

H Lee Moffitt Cancer Center And Research Institute Hospital, Inc · Tampa, FL
Active · expires Aug 31, 2026
CLIA Number10D0712828
Laboratory TypeHospital
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKelley S. Gonzalvo
Laboratory Phone(813) 745-1378
Laboratory LocationH Lee Moffitt Cancer Center And Research Institute Hospital, Inc12902 Magnolia Dr, Tampa, FL 33612
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories H. Lee Moffitt Cancer Center And Re carries, from the Medicare DMEPOS supplier directory.

H. Lee Moffitt Cancer Center And Re

DMEPOS supplier · Tampa, FLOperated by H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc.
⋮

Does not accept Medicare assignment

H. Lee Moffitt Cancer Center And Re has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20529893
Medicare Participant SinceApril 22, 2011
Supplier Location12902 Usf Magnolia DrTampa, FL 33612
Phone(813) 745-7354
Supplier Specialties
Pharmacy

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRUCE M WENIG M.D.
Pathology (Anatomic Pathology)
12902 USF MAGNOLIA DRIVE, MOFFITT CANCER CENTER - 2ND FLOOR, RM 2049
TAMPA, FL 33612
Hillsborough County (813) 745-2213
DAQUANDA ARNETT
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DRIVE
TAMPA, FL 33612
Hillsborough County (813) 745-7365
MR. OSAMAH JAMAL S JARALLAH MD
Student in an Organized Health Care Education/Training Program
12902 USF MAGNOLIA DRIVE, CSB2-GME
TAMPA, FL 33612
Hillsborough County (813) 745-2069
REBECCA RAFFOUL PA-C
Physician Assistant
12902 USF MAGNOLIA DRIVE
TAMPA, FL 33612
Hillsborough County (813) 746-7365

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc.'s NPI number?

The NPI number for H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc. is 1023756475. It was assigned to this organization in the NPPES registry on May 25, 2022. The provider is doing business as Clinic Pharmacy.

Where is H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc. located?

H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc. is located at 12902 Usf Magnolia Drive Mailstop: Mcc-Pharm, Tampa, FL 33612. The listed phone number is (813) 745-7354.

What is H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Specialty Pharmacy, with taxonomy code 3336S0011X.

Does H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, H. Lee Moffitt Cancer Center And Re does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc. hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc. accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Nebraska and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc. was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.