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VISTARA SPECIALTY PHARMACY
NPI 1578198560
Pharmacy - Long Term Care Pharmacy in Kenneth City, FL

Active since March 10, 2020
4404 66TH ST N, KENNETH CITY, FL 33709(727) 513-1107(727) 513-1109 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2023, Mar 10, 2020 (2 updates tracked since 2020).

About Vistara Specialty Pharmacy NPPES

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

VISTARA SPECIALTY PHARMACY (NPI 1578198560) is a healthcare organization registered as a long term care pharmacy in Kenneth City, Florida and active in the NPI registry since March 2020. The organization lists Bhaveshkumar Patel, Authorized Officer, as its authorized official.

NPPES Registry Identity

NPI1578198560
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameECKERDS PHARMACY LLC
Location Address4404 66TH ST NKenneth City, FL 33709-4922
Mailing Address4404 66th St NKenneth City, FL 33709-4922 · (727) 513-1107 · Fax (727) 513-1109
Phone(727) 513-1107
Fax(727) 513-1109
Organization SubpartYes
Authorized OfficialBhaveshkumar PatelAuthorized Officer · (813) 900-4995
Enumeration DateMarch 10, 2020
Last NPPES UpdateJanuary 18, 20242 updates tracked since enumeration
NPPES CertifiedDecember 29, 2023
✔ NPI 1578198560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
4404 66TH ST N, Kenneth City, FL 33709
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Other Names 1

Doing Business AsVistara Specialty Pharmacy

Other Identifiers 1

Medicaid101899100FL

Other Providers at the Same Location NPPES

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

ECKERDS PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
4404 66TH ST N
KENNETH CITY, FL 33709
Pinellas County (727) 513-1107

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 Eckerds Pharmacy LLC's NPI number?

The NPI number for Eckerds Pharmacy LLC is 1578198560. It was assigned to this organization in the NPPES registry on March 10, 2020. The provider is doing business as Vistara Specialty Pharmacy.

Where is Eckerds Pharmacy LLC located?

Eckerds Pharmacy LLC is located at 4404 66th St N, Kenneth City, FL 33709. The listed phone number is (727) 513-1107.

What is Eckerds Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Eckerds Pharmacy LLC was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.