Virgin Marys Pharmacy Corp
NPI 1730714130 · Community/Retail Pharmacy · Tampa, FL
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Virgin Marys Pharmacy Corp is a Community/Retail Pharmacy organization in Tampa, FL (NPI 1730714130).
Provider details
- NPI number
- 1730714130
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Amonyous Abdelmalak, Pharmacy Manager(813) 252-7799
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Other names (DBA / former)
- Doing business as
- True Vine Pharmacy
- Doing business as
- True Vine Pharmacy
Registry dates
- Enumerated
- 2020-03-05
- Last updated
- 2021-09-20
- Certified
- 2021-09-17
Frequently asked questions
- What is Virgin Marys Pharmacy Corp's NPI number?
- Virgin Marys Pharmacy Corp's National Provider Identifier (NPI) is 1730714130, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Virgin Marys Pharmacy Corp?
- Virgin Marys Pharmacy Corp is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Virgin Marys Pharmacy Corp located?
- Virgin Marys Pharmacy Corp's practice location on file with NPPES is 14606 N Dale Mabry, Tampa, FL 33618.
- What is Virgin Marys Pharmacy Corp's phone number?
- The practice phone number listed in the NPPES registry for Virgin Marys Pharmacy Corp is (813) 505-6684.
- Does Virgin Marys Pharmacy Corp accept Medicare?
- Virgin Marys Pharmacy Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Virgin Marys Pharmacy Corp?
- The authorized official listed on Virgin Marys Pharmacy Corp's NPPES record is Amonyous Abdelmalak, Pharmacy Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Virgin Marys Pharmacy Corp's NPI active?
- Yes — Virgin Marys Pharmacy Corp's NPI (1730714130) is active in the NPPES registry as of the last update on 2021-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.