Centra RX Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH19659 Issued in FL

Legal business name

CENTRA RX INC

Practice address

1326 S Pine Ave
Ocala, FL 34471-6542

Phone

(352) 629-8080

Fax

(352) 629-2121

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

John Costa

Title

President

Phone

(352) 629-8080

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CENTRA RX INC Doing business as

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1598878985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10623",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323022623",
            "telephone_number": "352-629-8080",
            "fax_number": "352-629-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 S PINE AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716542",
            "telephone_number": "352-629-8080",
            "fax_number": "352-629-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRA RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-629-8080"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH19659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2006501",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026537300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRA RX INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Ocala, FL
• Providers in Ocala, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.