Aetna RX Home Delivery

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

PH21465 Issued in FL

Legal business name

AETNA RX HOME DELIVERY

Practice address

1600 SW 80TH Ter
2ND Floor
Plantation, FL 33324-4049

Phone

(954) 693-2800

Fax

(954) 693-2905

NPI assigned

Jun 4, 2006

Last updated

Mar 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tokunbo Nike Kassim

Title

Dir, Pharmacist in Charge

Phone

(959) 299-3008

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Aetna RX Home Delivery LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Aetna RX Home Delivery, LLC

  • Pharmacy
  • Kansas City, MO
  • NPI 1033185186
  NPD tax ID
• Aetna RX Home Delivery, LLC

  • Mail Order Pharmacy
  • Kansas City, MO
  • NPI 1699925271
  NPD tax ID

Locations

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1427096809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW 80TH TER FL 2",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244049",
            "telephone_number": "866-612-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW 80TH TER",
            "address_2": "2ND FLOOR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244049",
            "telephone_number": "954-693-2800",
            "fax_number": "954-693-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AETNA RX HOME DELIVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "KASSIM",
        "authorized_official_first_name": "TOKUNBO",
        "authorized_official_middle_name": "NIKE",
        "authorized_official_title_or_position": "DIR, PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "959-299-3008"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH21465",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "FL",
            "license": "PH21465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PH21465",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Aessa, PA
• Aetna Better Health of Florida Inc - Reg 11
• Aetna Better Health of Florida Inc - Reg 11
• Aetna Better Health of Florida Inc - Reg 11
• Aetna Health Inc. a Florida Corporation
• Aeyal Oren DO PA (Minimally Invasive Surgery Institute of South Florida)
• Mohammad I Afaneh, PHARM D
• Shaher Afaneh
• Affable Home Care, Inc.
• Affordable Dental Center of West Broward (My Dentist For Life)

• Mail Order Pharmacy in Plantation, FL
• Providers in Plantation, FL by specialty
• Mail Order Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.