Active NPI
Maxxycom Investment Corp
- Community/Retail Pharmacy
- Lutz, FL
National Provider Identifier
1366770976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH24351
- Legal business name
- MAXXYCOM INVESTMENT CORP
- Practice address
- 1825 Collier Pkwy
Lutz, FL 33549-8718 - Phone
- (813) 406-4929
- NPI assigned
- Nov 20, 2009
- 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
- Parvinder S Kainth
- Title
- President
- Phone
- (727) 271-1984
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH24351 | FL | Primary |
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1825 Collier Pkwy
Lutz, FL 33549-8718
Mailing address
1825 Collier Pkwy
Lutz, FL 33549-8718
Phone (813) 406-4929
Other names 2
- Integra Rx
- MAXXYCOM RX PHARMACY
National Provider Directory
National Provider DirectoryLocations
1825 Collier Pkwy
Lutz, FL 33549
Phone (813) 406-4929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582502400000",
"number": "1366770976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 COLLIER PKWY",
"city": "LUTZ",
"state": "FL",
"postal_code": "335498718",
"telephone_number": "813-406-4929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 COLLIER PKWY",
"city": "LUTZ",
"state": "FL",
"postal_code": "335498718",
"telephone_number": "813-406-4929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXXYCOM INVESTMENT CORP",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-20",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A",
"authorized_official_last_name": "KAINTH",
"authorized_official_first_name": "PARVINDER",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-271-1984"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH24351",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Integra Rx",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MAXXYCOM RX PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.