Revive RX LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

30984 Issued in TX

Legal business name

REVIVE RX LLC

Practice address

3831 Golf Dr Ste a
Houston, TX 77018-5218

Phone

(888) 689-2271

Fax

(888) 689-1620

NPI assigned

Oct 17, 2016

Organization subpart

No

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

Authorized official

Name

Aaron Michael Schneider

Title

Owner

Phone

(888) 689-2271

Specialties & licenses 5

Addresses

Other identifiers 1

Tax ID family

Revive RX LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Revive RX LLC

  dba Revive Rx Pharmacy

  • Mail Order Pharmacy
  • Houston, TX
  • NPI 1285189076
  NPD tax ID

Locations

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1437600392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 GOLF DR STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770185218",
            "telephone_number": "888-689-2271",
            "fax_number": "888-689-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 GOLF DR STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770185218",
            "telephone_number": "888-689-2271",
            "fax_number": "888-689-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-689-2271"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CO",
            "license": "OSP.0006854",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "30363",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AZ",
            "license": "Y006974",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "MO",
            "license": "2016042826",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TX",
            "license": "30984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Revival Health Clinic
• Revival Homecare of Houson Inc.
• Revive F W
• Revive Health
• Revive RX LLC (Revive Rx Pharmacy)
• Revolution EMS Inc
• Revolve Physical Therapy LP (Revolve Physical Therapy)
• Lorena Fernandes Revoredo, APRN
• Charles Austin Rew, MD
• Christine Nazari Rew

• Specialty Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Specialty Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.