Rxcompoundstore.Com LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PH30412 Issued in FL

Legal business name

RXCOMPOUNDSTORE.COM LLC

Practice address

111 SW 3Rd St Ste 302
Miami, FL 33130

Phone

(844) 793-3879

NPI assigned

Nov 3, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Ruth Yankiver

Title

Owner

Phone

(844) 793-3879

Specialties & licenses 1

Addresses

Other names 1

• Rx Compound Store Doing business as

Locations

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1356893507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SW 3RD ST STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301926",
            "telephone_number": "844-793-3879",
            "fax_number": "844-875-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SW 3RD ST STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33130",
            "telephone_number": "844-793-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXCOMPOUNDSTORE.COM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "YANKIVER",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-793-3879",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "PH30412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rx Compound Store",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rx Compound Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.