Active NPI
RX Healthcare System LLC
Doing business as Community Pharmacy of Port Orange
- Community/Retail Pharmacy
- Port Orange, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH30903
- Legal business name
- RX HEALTHCARE SYSTEM LLC
- Doing business as
- Community Pharmacy of Port Orange
- Practice address
- 3755 S Nova Rd Ste a
Port Orange, FL 32129-4282 - Phone
- (321) 946-6332
- NPI assigned
- Aug 12, 2017
- Last updated
- Aug 12, 2017
- 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
- Kalpeshkumar C Patel, PHARMACIST
- Title
- Owner
- Phone
- (321) 946-6332
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH30903 | FL | Primary |
Addresses
Primary practice location
3755 S Nova Rd Ste a
Port Orange, FL 32129-4282
Mailing address
3755 South Nova Road
Unit# a
Port Orange, FL 32129
Phone (321) 946-6332
Other names 1
- COMMUNITY PHARMACY OF PORT ORANGE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190114000403 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 8325384357 | Practice locations: Port Orange, FL |
National Provider Directory
National Provider DirectoryLocations
3755 S Nova Rd
Ste A
Port Orange, FL 32129
Phone (321) 946-6332
Networks
- Freedom Health HMO Network
- Optimum HealthCare 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, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Orlando, FL
- NPI 1255867446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502496000000",
"number": "1093230831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3755 SOUTH NOVA ROAD",
"address_2": "UNIT# A",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "32129",
"telephone_number": "321-946-6332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3755 S NOVA RD STE A",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321294282",
"telephone_number": "321-946-6332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RX HEALTHCARE SYSTEM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-12",
"last_updated": "2017-08-12",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "KALPESHKUMAR",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-946-6332",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH30903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "COMMUNITY PHARMACY OF PORT ORANGE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.