VISTARA SPECIALTY PHARMACY
NPI 1922577832
Pharmacy - Community/Retail Pharmacy in Kenneth City, FL

Active since November 20, 2018
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, Aug 24, 2022, Nov 20, 2018 (3 updates tracked since 2018).

About Vistara Specialty Pharmacy NPPES

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

VISTARA SPECIALTY PHARMACY (NPI 1922577832) is a healthcare organization registered as a community/retail pharmacy in Kenneth City, Florida and active in the NPI registry since November 2018. The organization lists Bhaveshkumar Patel, Pic, as its authorized official.

NPPES Registry Identity

NPI1922577832
Entity TypeOrganization
Primary Taxonomy3336C0003X
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
Fax(727) 513-1109
Organization SubpartNo
Authorized OfficialBhaveshkumar PatelPic · (813) 900-4995
Enumeration DateNovember 20, 2018
Last NPPES UpdateJanuary 18, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
NPI 1922577832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
4404 66TH ST N, Kenneth City, FL 33709

Other Names 1

Doing Business AsVistara Specialty Pharmacy

Other Identifiers 2

OtherPH31757FL · License
Medicaid101899100FL

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacy (Long Term Care Pharmacy)
4404 66TH ST N
KENNETH CITY, FL 33709

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 1922577832. It was assigned to this organization in the NPPES registry on November 20, 2018. 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 Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Eckerds Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Eckerds Pharmacy 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 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.