Organization Active NPI

RX Pro Pharmacy & Compounding, Inc

  • Community/Retail Pharmacy
  • Hallandale Beach, FL
National Provider Identifier
1104192335
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH26011 Issued in FL
Legal business name
RX PRO PHARMACY & COMPOUNDING, INC
Practice address
932 W Hallandale Beach Blvd
Hallandale Beach, FL 33009-5241
Phone
(954) 455-0004
Fax
(601) 982-7103
NPI assigned
Apr 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Jason David Rutland
Title
President
Phone
(954) 455-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH26011 FL Primary

Addresses

Primary practice location

932 W Hallandale Beach Blvd
Hallandale Beach, FL 33009-5241

Mailing address

932 W Hallandale Beach Blvd
Hallandale Beach, FL 33009-5241
Phone (954) 455-0004

National Provider Directory

National Provider Directory
Tax ID family
RX Pro Pharmacy Compounding Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

932 W Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (305) 298-2400

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1104192335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 W HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095241",
            "telephone_number": "954-455-0004",
            "fax_number": "601-982-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 W HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095241",
            "telephone_number": "954-455-0004",
            "fax_number": "601-982-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX PRO PHARMACY & COMPOUNDING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "RUTLAND",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-455-0004"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.