Active NPI
Eagle Pharmacy LLC
Doing business as Ryaltris Direct
- Pharmacy
- Lakeland, FL
National Provider Identifier
1104785112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- EAGLE PHARMACY LLC
- Doing business as
- Ryaltris Direct
- Practice address
- 330 Eagles Landing Dr Ste 250
Lakeland, FL 33810-3041 - Phone
- (833) 819-0923
- NPI assigned
- Jan 16, 2026
- Last updated
- Jul 24, 2026
- 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
- Henry Burgess, PHARMD
- Title
- President, Pharmacy Services
- Phone
- (833) 819-0923
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | Primary | |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
330 Eagles Landing Dr Ste 250
Lakeland, FL 33810-3041
Mailing address
1 Healthcare Way
Lakewood, NJ 08701-5400
Phone (833) 819-0923
Other names 1
- Ryaltris Direct
National Provider Directory
National Provider Directory- Tax ID family
- Eagle Pharmacy LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
Locations
330 Eagles Landing Dr
Ste 250
Lakeland, FL 33810
Phone (833) 819-0923
1 Healthcare Way
Lakewood, NJ 08701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1104785112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HEALTHCARE WAY",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015400",
"telephone_number": "833-819-0923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 EAGLES LANDING DR STE 250",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338103041",
"telephone_number": "833-819-0923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-16",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A",
"authorized_official_last_name": "BURGESS",
"authorized_official_first_name": "HENRY",
"authorized_official_title_or_position": "PRESIDENT, PHARMACY SERVICES",
"authorized_official_telephone_number": "833-819-0923",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ryaltris Direct",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lakeland, FL
- Dynamic Therapy Inc
- Dynamiks Home Care Inc
- E & M Medical Group PA
- Jennifer Eady, LDO
- Eagle Lake Pharmacy Inc (Eagle Lake Pharmacy)
- Eagle Pharmacy LLC (Combogesic Direct)
- Eagle Pharmacy LLC (VandaRx)
- Eagle Pharmacy LLC
- Eagle Pharmacy LLC (LUCEMYRA Rx Connect)
- Eagle Pharmacy LLC (Synthroid Delivers Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.