DAVIS ISLANDS PHARMACY – Pharmacy, NPI 1689675712

DAVIS ISLANDS PHARMACY is a healthcare provider. based in Tampa, Florida. specializing in Pharmacy. The organization holds a License No. PH9794 (FL). The NPI Number for DAVIS ISLANDS PHARMACY is 1689675712

Main info

Organization
Name
DAVIS ISLANDS PHARMACY
NPI
1689675712
Phone
(813) 254-1888
Address
232 E DAVIS BLVD
Authorized Official
MR. ABRAHAM ELI BOBO OWNER PHARMACIST RPH
Enumeration Date
10 August 2005
Last Update Date
6 June 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for DAVIS ISLANDS PHARMACY

  • Davis Islands Post Office, 232, East Davis Boulevard, Davis Islands, Tampa, Hillsborough County, Florida, 33606, United States

    TAMPA, FL 336063729

    Phone: (813) 254-1888

    Fax: (813) 254-8396

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-04-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-04-30 (768 days ago).

Enrollment records

1

Earliest due date

2024-04-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20170424001191OMass Immunization (Roster Biller Only)FL2024-04-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count83691$0
G0008Administration of influenza virus vaccine6767$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage6666$0
90480Admn sarscov2 vacc 1 dose4544$0
91320Sarscv2 vac 30mcg trs-suc im4544$0
View full utilization report →

Insurance plans in this area (ZIP 33606)

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Reviews

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Frequently asked questions

Does DAVIS ISLANDS PHARMACY have a public NPI I can cite?
Public records show DAVIS ISLANDS PHARMACY under NPI 1689675712.
Should I treat DAVIS ISLANDS PHARMACY as an active provider?
Patients and plans typically see DAVIS ISLANDS PHARMACY as active in the national extract.
What type of care does DAVIS ISLANDS PHARMACY provide?
DAVIS ISLANDS PHARMACY's profile centers on Pharmacy. Clinical services aligned with this taxonomy classification.
What city is tied to DAVIS ISLANDS PHARMACY?
The directory associates DAVIS ISLANDS PHARMACY with Tampa, Florida. Check all listed addresses for suites or satellite offices.
Why is information missing for DAVIS ISLANDS PHARMACY?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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