Organization Active NPI

Rxadvance

  • Point of Service
  • Southborough, MA
National Provider Identifier
1467879064
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
RXADVANCE
Practice address
2 Park Central Dr
Suite 200
Southborough, MA 01772-1777
Phone
(508) 804-6900
NPI assigned
Mar 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Mr. Ravi Ika
Title
Ceo
Phone
(508) 804-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

2 Park Central Dr
Suite 200
Southborough, MA 01772-1777

Mailing address

2 Park Central Dr
Suite 200
Southborough, MA 01772-1777
Phone (508) 804-6900

National Provider Directory

National Provider Directory

Locations

371 Turnpike Rd
Ste 200
Southborough, MA 01772
Phone (508) 804-6900

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1467879064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARK CENTRAL DR",
            "address_2": "SUITE 200",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721777",
            "telephone_number": "508-804-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK CENTRAL DR",
            "address_2": "SUITE 200",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721777",
            "telephone_number": "508-804-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXADVANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "IKA",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-804-6900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.