Active NPI
Life Saverx
- Home Infusion Therapy Pharmacy
- Brandon, FL
National Provider Identifier
1013226687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- PH24913
- Legal business name
- LIFE SAVERX
- Practice address
- 207 E Robertson St Ste B
Brandon, FL 33511-5254 - Phone
- (813) 283-1131
- Fax
- (813) 489-1789
- NPI assigned
- Sep 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rafael Caceres
- Title
- Ceo/Owner
- Phone
- (813) 283-1131
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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | PH24913 | FL | Primary |
| Institutional Pharmacy | 3336I0012X | |||
| Mail Order Pharmacy | 3336M0002X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
207 E Robertson St Ste B
Brandon, FL 33511-5254
Mailing address
207 E Robertson St
Suite B
Brandon, FL 33511-5254
Phone (813) 283-1131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5702077 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Life SaveRx, LLC
National Provider Directory
National Provider DirectoryLocations
207 E Robertson St
Ste B
Brandon, FL 33511
Phone (813) 781-0250
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacy Technician
- Brandon, FL
- NPI 1396413621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296777600000",
"number": "1013226687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 E ROBERTSON ST",
"address_2": "SUITE B",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115254",
"telephone_number": "813-283-1131",
"fax_number": "813-489-1789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 E ROBERTSON ST STE B",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115254",
"telephone_number": "813-283-1131",
"fax_number": "813-489-1789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE SAVERX",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-30",
"last_updated": "2011-02-04",
"status": "A",
"authorized_official_last_name": "CACERES",
"authorized_official_first_name": "RAFAEL",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "813-283-1131"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "FL",
"license": "PH24913",
"primary": true
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5702077",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Life SaveRx, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.