Rxpert #1 LLC

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

PH21596 Issued in FL

Legal business name

RXPERT #1 LLC

Doing business as

RxPert Pharmacy, Inc.

Practice address

2177 Kingsley Ave
Suite 1
Orange Park, FL 32073-5199

Phone

(904) 272-1690

Fax

(904) 272-1691

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John K Hurley

Title

C.O.O.

Phone

(904) 272-1670

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• RxPert Pharmacy, Inc. Doing business as

Tax ID family

Rxpert 1 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.

• Rxpert 1 LLC

  • Community/Retail Pharmacy
  • Orange Park, FL
  • NPI 1922025600
  NPD tax ID

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548345945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 KINGSLEY AVE",
            "address_2": "SUITE 1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735199",
            "telephone_number": "904-272-1690",
            "fax_number": "904-272-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 KINGSLEY AVE",
            "address_2": "SUITE 1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735199",
            "telephone_number": "904-272-1690",
            "fax_number": "904-272-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXPERT #1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "904-272-1670",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Geriatric",
            "state": "FL",
            "license": "PH21596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1015329",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31132400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RxPert Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Russ
• Alexandria Russell
• Pamela Russell, TH. D.
• Anthony J Russo, PTA
• Jeffrey Allyn Ruterbusch, D.O.
• Rxpert 1 LLC
• Rxpert Pharmacy LLC
• Felicia Ryals
• Elizabeth Lang Ryder, DO
• Hailey Ryder

• Geriatric Pharmacist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Geriatric Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.