IMA WEST TAMPA DISPENSARY
NPI 1194239780
Non-Pharmacy Dispensing Site in Tampa, FL

Active since November 20, 2017
4700 N HABANA AVE, TAMPA, FL 33614(813) 444-9599(813) 513-8210 Get Directions Write a Review

NPPES record last updated: November 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ima West Tampa Dispensary NPPES

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

IMA WEST TAMPA DISPENSARY (NPI 1194239780) is a healthcare organization registered as a non-pharmacy dispensing site in Tampa, Florida and active in the NPI registry since November 2017. The organization lists Patricia D Perez, Coo, as its authorized official.

NPPES Registry Identity

NPI1194239780
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameMEDICAL HOME ALLIANCE LLC
Location Address4700 N HABANA AVETampa, FL 33614-7160
Mailing Address6675 Westwood Blvd Ste 475Orlando, FL 32821-6027 · (407) 845-0330 · Fax (888) 972-1752
Fax(813) 513-8210
Organization SubpartNo
Authorized OfficialPatricia D PerezCoo · (407) 845-0330
Enumeration DateNovember 20, 2017
NPI 1194239780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in FL · ACN515
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

4700 N HABANA AVE, Tampa, FL 33614

Other Names 1

Doing Business AsIma West Tampa Dispensary

Other Identifiers 1

Medicaid018418600FL

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Massage Therapist
4700 N HABANA AVE, 700
TAMPA, FL 33614
Surgery
4700 N HABANA AVE, #403
TAMPA, FL 33614
Surgery
4700 N HABANA AVE, SUITE 403
TAMPA, FL 33614
Social Worker (Clinical)
4700 N HABANA AVE
TAMPA, FL 33614
Specialist
4700 N HABANA AVE, SUITE 505
TAMPA, FL 33614
Internal Medicine (Hematology & Oncology)
4700 N HABANA AVE, SUITE 702
TAMPA, FL 33614
Specialist
4700 N HABANA AVE, SUITE 403
TAMPA, FL 33614
Internal Medicine (Gastroenterology)
4700 N HABANA AVE, SUITE 701
TAMPA, FL 33614

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 Medical Home Alliance LLC's NPI number?

The NPI number for Medical Home Alliance LLC is 1194239780. It was assigned to this organization in the NPPES registry on November 20, 2017. The provider is doing business as Ima West Tampa Dispensary.

Where is Medical Home Alliance LLC located?

Medical Home Alliance LLC is located at 4700 N Habana Ave, Tampa, FL 33614. The listed phone number is (813) 444-9599.

What is Medical Home Alliance LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

What insurance does Medical Home Alliance LLC accept?

Health plans from Moda Health Plan, Inc. list Medical Home Alliance LLC 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 Medical Home Alliance LLC was last updated on November 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.