Revive RX LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

30984 Issued in TX

Legal business name

REVIVE RX LLC

Doing business as

Revive Rx Pharmacy

Practice address

3831 Golf Dr Ste a
Houston, TX 77018-5218

Phone

(888) 689-2271

Fax

(888) 689-1620

NPI assigned

Aug 22, 2016

Last updated

Oct 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aaron Michael Schneider

Title

Owner

Phone

(888) 689-2271

Specialties & licenses 1

Addresses

Other names 1

• Revive Rx Pharmacy Doing business as

Tax ID family

Revive RX LLC2 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.

• Revive RX LLC

  • Specialty Pharmacy
  • Houston, TX
  • NPI 1437600392
  NPD tax ID

Locations

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1285189076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 GOLF DR STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770185218",
            "telephone_number": "888-689-2271",
            "fax_number": "888-689-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 GOLF DR STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770185218",
            "telephone_number": "888-689-2271",
            "fax_number": "888-689-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-689-2271"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "TX",
            "license": "30984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Revive Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Revitalized Resilience PLLC
• Revival Health Clinic
• Revival Homecare of Houson Inc.
• Revive F W
• Revive Health
• Revive RX LLC
• Revolution EMS Inc
• Revolve Physical Therapy LP (Revolve Physical Therapy)
• Lorena Fernandes Revoredo, APRN
• Charles Austin Rew, MD

• Mail Order Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Mail Order Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.