Fill RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH29977 Issued in FL

Legal business name

FILL RX LLC

Practice address

776 Deltona Blvd
Deltona, FL 32725-7107

Phone

(386) 259-4074

Fax

(386) 259-9037

NPI assigned

Apr 22, 2016

Organization subpart

No

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

Authorized official

Name

Jigar Patel

Title

Co-Owner

Phone

(386) 259-4074

Specialties & licenses 2

Addresses

Other names 1

• iPharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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)

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tulsi Patel, RPH

  • Pharmacist
  • Miramar, FL
  • NPI 1346866712
  NPD

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1104270404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 DELTONA BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257107",
            "telephone_number": "386-259-4074",
            "fax_number": "386-259-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 DELTONA BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257107",
            "telephone_number": "386-259-4074",
            "fax_number": "386-259-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FILL RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIGAR",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "386-259-4074"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29977",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iPharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "iPharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nia Felder
• Cecilia Fernandez Chacon
• Reynaldo Fernandez, DC
• Sherry Lynn Fernandez, RN
• Fidelity Living LLC Group Home
• Fill RX LLC
• Dennis Alan Filosa, D.C.
• First Care Transport, LLC
• Amelia Flanigan
• Rowena Floresta, PT

• Community/Retail Pharmacy in Deltona, FL
• Providers in Deltona, 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 28, 2024; 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.

Verify at the official NPI Registry.