Generic RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH 24161 Issued in FL

Legal business name

GENERIC RX LLC

Doing business as

Generic Rx LLC

Practice address

3448 W Hillsboro Blvd
Deerfield Beach, FL 33442-9419

Phone

(954) 420-5656

Fax

(954) 427-8566

NPI assigned

Jul 27, 2009

Organization subpart

No

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

Authorized official

Name

Diana Iagrossi

Title

Owner

Phone

(954) 420-5656

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Generic Rx LLC Doing business as

Locations

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1366672271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429419",
            "telephone_number": "954-420-5656",
            "fax_number": "954-427-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429419",
            "telephone_number": "954-420-5656",
            "fax_number": "954-427-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERIC RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "IAGROSSI",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-420-5656"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH 24161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1047352",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generic Rx LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Albert Roy Gegerson, DDS
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• Patricia M Genito, MA42649
• Dontevia Gentry
• Jenny Gentry
• Tatyannah George
• Angela Gerald, M.ED, RBT

• Community/Retail Pharmacy in Deerfield Beach, FL
• Providers in Deerfield Beach, 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 Jul 27, 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.