RX Services Corporation

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH10783 Issued in FL

Legal business name

RX SERVICES CORPORATION

Doing business as

Edison Prescription Shoppe

Practice address

2665 Cleveland Ave
#103
Fort Myers, FL 33901-5850

Phone

(239) 561-2757

Fax

(239) 768-1292

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Bruce Jacobs, RPHNPI 1396897393

Title

Vice President Pharmacist

Phone

(239) 561-2757

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• EDISON PRESCRIPTION SHOPPE Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Paul Jacobs, RPH

  • Pharmacist
  • Fort Myers, FL
  • NPI 1396897393
  NPD (past) Authorized official

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1326045097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6799 HIGHLAND PINES CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661378",
            "telephone_number": "239-561-2757",
            "fax_number": "239-768-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 CLEVELAND AVE",
            "address_2": "#103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015850",
            "telephone_number": "239-561-2757",
            "fax_number": "239-768-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VICE PRESIDENT PHARMACIST",
        "authorized_official_telephone_number": "239-561-2757",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH10783",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100617700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100617701",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "671486296",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1062861",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDISON PRESCRIPTION SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherrie Lee Russell, PHARMD
• Christian David Russo
• Laura Marie Rutizer, ARNP
• Cierra Irene Ruybal
• Tiffany Ruziev, LMHCA
• RX to Go LLC (RX to Go)
• Yvonne Elizabeth Rybczuk
• Ryder Orthopaedics Inc.
• Fanessa Ryder, CPT
• Katie Lynn Ryder, DO

• Pharmacy in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.