Dental RX Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH21099 Issued in FL

Legal business name

DENTAL RX INC.

Practice address

1190 Edgewood Ave W
Suite B.
Jacksonville, FL 32208-3419

Phone

(904) 764-8280

Fax

(904) 764-6625

NPI assigned

Mar 1, 2007

Last updated

Oct 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ira Riley Jr., R.P.H.

Title

President

Phone

(904) 764-8280

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1033247986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 EDGEWOOD AVE W",
            "address_2": "SUITE B.",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083419",
            "telephone_number": "904-764-8280",
            "fax_number": "904-764-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 EDGEWOOD AVE W",
            "address_2": "SUITE B.",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083419",
            "telephone_number": "904-764-8280",
            "fax_number": "904-764-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-764-8280",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R.P.H."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PH21099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Ashley Denton, PA-C

• Pharmacist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.