Organization Active NPI

Royal RX Pharmacy Inc

  • Community/Retail Pharmacy
  • Tampa, FL
National Provider Identifier
1154429181
Registry record updated Sep 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH20046 Issued in FL
Legal business name
ROYAL RX PHARMACY INC
Practice address
4941 E Busch Blvd
Ste 240
Tampa, FL 33617-6056
Phone
(813) 980-6334
Fax
(813) 980-6338
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2017

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

Authorized official

Name
Raeneissa Diaz, PHARMD
Title
Pharmacy Manager
Phone
(813) 980-6334

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH20046 FL Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

4941 E Busch Blvd
Ste 240
Tampa, FL 33617-6056

Mailing address

4941 E Busch Blvd
Ste 240
Tampa, FL 33617-6056
Phone (813) 980-6334

Other identifiers 2

IdentifierTypeStateIssuer
2008586OtherPK
026883600MedicaidFL

Other names 1

  • ROYAL RX PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

4941 E Busch Blvd
Ste 240
Tampa, FL 33617
Phone (813) 980-6334

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506384000000",
    "number": "1154429181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4941 E BUSCH BLVD",
            "address_2": "STE 240",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336176056",
            "telephone_number": "813-980-6334",
            "fax_number": "813-980-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4941 E BUSCH BLVD",
            "address_2": "STE 240",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336176056",
            "telephone_number": "813-980-6334",
            "fax_number": "813-980-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL RX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2017-09-26",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "RAENEISSA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "813-980-6334",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH20046",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2008586",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026883600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROYAL RX PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; 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.