Organization Active NPI

Maxxycom Investment Corp

  • Community/Retail Pharmacy
  • Lutz, FL
National Provider Identifier
1366770976
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH24351 Issued in FL
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

Updated by the provider on Feb 24, 2020

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)CodeLicenseStatePrimary
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 Doing business as
  • MAXXYCOM RX PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.