RX Group One LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH26375 Issued in FL

Legal business name

RX GROUP ONE LLC

Practice address

305 Clyde Morris Blvd
Suite # 200
Ormond Beach, FL 32174-8181

Phone

(386) 872-7605

Fax

(386) 492-6337

NPI assigned

Oct 2, 2012

Organization subpart

No

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

Authorized official

Name

Palak Patel

Title

Owner

Phone

(386) 872-7605

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• COMMUNITY PHARMACY OF ORMOND BEACH Doing business as

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1053662973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CLYDE MORRIS BLVD",
            "address_2": "SUITE # 200",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748181",
            "telephone_number": "386-872-7605",
            "fax_number": "386-492-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CLYDE MORRIS BLVD",
            "address_2": "SUITE # 200",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748181",
            "telephone_number": "386-872-7605",
            "fax_number": "386-492-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX GROUP ONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PALAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-872-7605"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007256400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137218",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY PHARMACY OF ORMOND BEACH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Jade Rowley, MS., CF-SLP
• Roya Medical Center Inc
• RSC Ormond Beach Seaside LLC
• Mark Stephen Rubin, M.D.
• Bette Brock Rutan, LMHC
• Taylor Morgan Ryan
• Evette Adel Saad, PHARMACIST
• Sachaka PLLC
• Reena Sachdev, M.D.
• Sage Chiropractic and Vitality Center, LLC

• Community/Retail Pharmacy in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.