Provider Demographics
NPI:1629514864
Name:ST. THOMAS PHARMACY LLC
Entity Type:Organization
Organization Name:ST. THOMAS PHARMACY LLC
Other - Org Name:STARCARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MILLAD
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-312-4888
Mailing Address - Street 1:7200 RIDGE RD STE 106
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-6971
Mailing Address - Country:US
Mailing Address - Phone:727-312-4888
Mailing Address - Fax:727-312-4889
Practice Address - Street 1:7200 RIDGE RD STE 106
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-6971
Practice Address - Country:US
Practice Address - Phone:727-312-4888
Practice Address - Fax:727-312-4889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30422310400000X, 3104A0630X, 311500000X, 315D00000X
FLPH 304223336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient