Express Meds RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH22069 Issued in FL

Legal business name

EXPRESS MEDS RX LLC

Doing business as

EXPRESS MEDS RX LLC

Practice address

1860 Boy Scout Dr
Ste 201
Fort Myers, FL 33907-2144

Phone

(239) 274-3269

Fax

(239) 936-1761

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Ricardo Luaces

Title

VP

Phone

(239) 936-1041

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EXPRESS MEDS RX LLC Doing business as

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1326059965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9830",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841099830",
            "telephone_number": "801-716-4721",
            "fax_number": "801-716-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 BOY SCOUT DR",
            "address_2": "STE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072144",
            "telephone_number": "239-274-3269",
            "fax_number": "239-936-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MEDS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "LUACES",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "239-936-1041"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31346700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1019834",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXPRESS MEDS RX LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Fort Myers, FL
• Providers in Fort Myers, 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 Sep 16, 2011; 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.