ST. MARY PHARMACY – Community/Retail Pharmacy, NPI 1740423573

ST. MARY PHARMACY is a healthcare provider. based in Largo, Florida. specializing in Community/Retail Pharmacy. The organization holds a License No. PH23976 (FL). The NPI Number for ST. MARY PHARMACY is 1740423573

Main info

Organization
Name
ST. MARY PHARMACY
NPI
1740423573
Phone
(727) 585-1333
Address
1290 W BAY DR
Authorized Official
JOHN SHAKER PHARMACIST (PARTNER)
Enumeration Date
9 April 2009
Last Update Date
16 February 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness80
Years active:17State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for ST. MARY PHARMACY

  • West Bay Drive, Largo, Pinellas County, Florida, 33770, United States

    LARGO, FL 337702204

    Phone: (727) 585-1333

    Fax: (727) 585-1344

    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: 2021-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-02-28 (105 days ago).

Enrollment records

1

Earliest due date

2026-02-28

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
O20210208002492OMass Immunization (Roster Biller Only)FL2026-02-28

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33770)

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Reviews

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Frequently asked questions

How is ST. MARY PHARMACY identified in CMS data?
CMS-hosted NPPES data lists ST. MARY PHARMACY with NPI 1740423573.
Is ST. MARY PHARMACY listed as active for patients and plans?
The listing shows ST. MARY PHARMACY as active in the NPI system.
What is ST. MARY PHARMACY's specialty?
The listing groups ST. MARY PHARMACY with Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
What address line appears for ST. MARY PHARMACY?
ST. MARY PHARMACY's geographic hint is Largo, Florida in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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