Active NPI
RX Choice LLC
- Community/Retail Pharmacy
- Rome, GA
National Provider Identifier
1356620140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE009772
- Legal business name
- RX CHOICE LLC
- Practice address
- 501 E 2ND Ave
Rome, GA 30161-3249 - Phone
- (706) 622-2063
- Fax
- (706) 622-2752
- NPI assigned
- Aug 10, 2011
- 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
- Carlos Zimmerman
- Title
- President
- Phone
- (706) 622-2063
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHRE009772 | GA | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
501 E 2ND Ave
Rome, GA 30161-3249
Mailing address
501 E 2ND Ave
Rome, GA 30161-3249
Phone (706) 622-2063
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003115892A | Medicaid | GA | |
| 2131348 | Other | PK |
Other names 1
- Rome Community Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130718000379 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5698916500 | Practice locations: Rome, GA |
National Provider Directory
National Provider DirectoryLocations
501 E 2nd Ave
Rome, GA 30161
Phone (706) 622-2063
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Rome, GA
- NPI 1740790229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467676800000",
"number": "1356620140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E 2ND AVE",
"city": "ROME",
"state": "GA",
"postal_code": "301613249",
"telephone_number": "706-622-2063",
"fax_number": "706-622-2752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E 2ND AVE",
"city": "ROME",
"state": "GA",
"postal_code": "301613249",
"telephone_number": "706-622-2063",
"fax_number": "706-622-2752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RX CHOICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-10",
"last_updated": "2016-07-05",
"status": "A",
"authorized_official_last_name": "ZIMMERMAN",
"authorized_official_first_name": "CARLOS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "706-622-2063"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE009772",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003115892A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2131348",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rome Community Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.