Organization Active NPI

My Pharmacy RX FL LLC

  • Community/Retail Pharmacy
  • Vero Beach, FL
National Provider Identifier
1053616771
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25180 Issued in FL
Legal business name
MY PHARMACY RX FL LLC
Doing business as
My Pharmacy Rx FL,LLC
Practice address
616 21St St
Vero Beach, FL 32960-0951
Phone
(772) 562-0000
Fax
(772) 562-0077
NPI assigned
Jan 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Travis Griffith
Title
Owner/ Manager
Phone
(954) 691-6544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH25180 FL Primary

Addresses

Primary practice location

616 21St St
Vero Beach, FL 32960-0951

Mailing address

616 21St St
Vero Beach, FL 32960-0951
Phone (772) 562-0000

Other identifiers 1

IdentifierTypeStateIssuer
5703651OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • My Pharmacy Rx FL,LLC Doing business as

National Provider Directory

National Provider Directory

Locations

616 21st St
Vero Beach, FL 32960
Phone (772) 562-0000

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1053616771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 21ST ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600951",
            "telephone_number": "772-562-0000",
            "fax_number": "772-562-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 21ST ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600951",
            "telephone_number": "772-562-0000",
            "fax_number": "772-562-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PHARMACY RX FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "954-691-6544"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5703651",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Pharmacy Rx FL,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.