OrganizationActive
Southshore Pharmacy, Inc.
NPI 1710381694 · Compounding Pharmacy · Gibsonton, FL
Provider details
- NPI number
- 1710381694
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- David Flax, Owner(863) 712-3064
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13127 Kings Lake Dr.
Unit 102
Gibsonton, FL 33534-3958
Phone: (813) 672-9600
Fax: (813) 613-1968
Street-level locationGet directions
Mailing address
13127 Kings Lake Dr.
Gibsonton, FL 33534-3958
Registry dates
- Enumerated
- 2014-10-21
- Last updated
- 2015-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.