Organization Active NPI

Rxlive Florida LLC

  • Pharmacy
  • St Petersburg, FL
National Provider Identifier
1003489840
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
RXLIVE FLORIDA LLC
Practice address
1211 1St Ave N Ste 204
St Petersburg, FL 33705-1567
Phone
(866) 234-4974
NPI assigned
Jul 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristen Engelen, PHARMDNPI 1790922763
Title
Managing Member
Phone
(919) 260-3126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X
Pharmacy 333600000X Primary

Addresses

Primary practice location

1211 1St Ave N Ste 204
St Petersburg, FL 33705-1567

Mailing address

1211 1St Ave N Ste 204
St Petersburg, FL 33705-1567
Phone (866) 234-4974

National Provider Directory

National Provider Directory

Locations

1211 1st Ave N
Ste 204
St Petersburg, FL 33705
Phone (866) 234-4974

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1003489840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 1ST AVE N STE 204",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051567",
            "telephone_number": "866-234-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 1ST AVE N STE 204",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051567",
            "telephone_number": "866-234-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXLIVE FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "ENGELEN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "919-260-3126",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.