Radiance Health RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RADIANCE HEALTH RX LLC

Practice address

723 Virginia Dr
Orlando, FL 32803-2527

Phone

(407) 234-5873

Fax

(855) 828-8066

NPI assigned

Oct 9, 2018

Last updated

Oct 9, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

RADIANCE HEALTH AND BEAUTYAs reported in NPPES

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

Authorized official

Name

Mr. Marcus Martinez, MBA

Title

Ceo

Phone

(407) 234-5873

Specialties & licenses 1

Addresses

Part of

Radiance Health and Beauty

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Radiance Health and Beauty

  • Specialist
  • Winter Park, FL
  • NPI 1992171037
  NPPES parent name

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1447725163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9345 SHEPTON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253788",
            "telephone_number": "407-234-5873",
            "fax_number": "855-828-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 VIRGINIA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032527",
            "telephone_number": "407-234-5873",
            "fax_number": "855-828-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE HEALTH RX LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIANCE HEALTH AND BEAUTY",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-234-5873",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex James Rademaker, CRNA
• Christopher Radford, CRNA
• Grace Prinsell Radford, CRNA
• Michael Radi
• Radiance Center for Obstetrics and Gynecology LLC (Radiance Women's Center)
• Radiant Life Group Homes, LLC
• Radiant Spa, LLC (Radiant)
• Maja Radic, MD
• Radiology of Florida LLC
• Radiology Science Institute, LLC

• Community/Retail Pharmacy in Orlando, FL
• Providers in Orlando, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.