Organization Active NPI

HMVN LLC

Doing business as Prime Rx Pharmacy

  • Community/Retail Pharmacy
  • Riverview, FL
National Provider Identifier
1366778532
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH24312 Issued in FL
Legal business name
HMVN LLC
Doing business as
Prime Rx Pharmacy
Practice address
7230 US Highway 301 S
Suite 1
Riverview, FL 33578-4387
Phone
(813) 443-7466
Fax
(813) 443-7468
NPI assigned
Oct 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Kamal Patel
Title
RX Manager / Pharmacist
Phone
(813) 443-4766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH24312 FL Primary

Addresses

Primary practice location

7230 US Highway 301 S
Suite 1
Riverview, FL 33578-4387

Mailing address

7230 US Highway 301 S
Suite 1
Riverview, FL 33578-4387
Phone (813) 443-7466

Other identifiers 3

IdentifierTypeStateIssuer
1050210OtherNCPDP PROVIDER IDENTIFICATION NUMBER
001888600MedicaidFL
001888601OtherFLMEDICAID DME

Other names 1

  • Prime Rx Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

7230 US Highway 301 S
Ste 1
Riverview, FL 33578
Phone (813) 443-4766

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1366778532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 US HIGHWAY 301 S",
            "address_2": "SUITE 1",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784387",
            "telephone_number": "813-443-7466",
            "fax_number": "813-443-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 US HIGHWAY 301 S",
            "address_2": "SUITE 1",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784387",
            "telephone_number": "813-443-7466",
            "fax_number": "813-443-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMVN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_title_or_position": "RX MANAGER / PHARMACIST",
        "authorized_official_telephone_number": "813-443-4766"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1050210",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001888600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "001888601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.