Active NPI
Advanced RX Derm, LLC
- Community/Retail Pharmacy
- St Pete Beach, FL
National Provider Identifier
1053716936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH28614
- Legal business name
- ADVANCED RX DERM, LLC
- Practice address
- 7500 Gulf Blvd
St Pete Beach, FL 33706-1821 - Phone
- (407) 753-6310
- Fax
- (844) 566-0501
- NPI assigned
- Nov 4, 2014
- 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
- Parvinder S Kainth
- Title
- Manager
- Phone
- (407) 753-6310
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH28614 | FL | Primary |
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
7500 Gulf Blvd
St Pete Beach, FL 33706-1821
Mailing address
PO Box 1730
Lutz, FL 33548-1730
Other names 1
- Advanced Rx Pharmacy 027
National Provider Directory
National Provider Directory- Tax ID family
- Advanced RX Derm LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Longwood, FL
- NPI 1063893964
Locations
7500 Gulf Blvd
St Pete Beach, FL 33706
Phone (407) 753-6310
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- St Petersburg, FL
- NPI 1962935742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590710400000",
"number": "1053716936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1730",
"city": "LUTZ",
"state": "FL",
"postal_code": "335481730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 GULF BLVD",
"city": "ST PETE BEACH",
"state": "FL",
"postal_code": "337061821",
"telephone_number": "407-753-6310",
"fax_number": "844-566-0501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED RX DERM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-04",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A",
"authorized_official_last_name": "KAINTH",
"authorized_official_first_name": "PARVINDER",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "407-753-6310"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH28614",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Rx Pharmacy 027",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advanced Rx Pharmacy 027",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in St Pete Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.