Active NPI
RX Express Pharmacy of Milton Inc
- Community/Retail Pharmacy
- Milton, FL
National Provider Identifier
1619240942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH25939
- Legal business name
- RX EXPRESS PHARMACY OF MILTON INC
- Practice address
- 5987 Berryhill Rd
Milton, FL 32570-4043 - Phone
- (850) 623-6337
- Fax
- (850) 623-6339
- NPI assigned
- Feb 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Walters
- Title
- President/Pharmacy Manager
- Phone
- (850) 637-6844
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH25939 | FL | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
5987 Berryhill Rd
Milton, FL 32570-4043
Mailing address
5987 Berryhill Rd
Milton, FL 32570-4043
Phone (850) 623-6337
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2133981 | Other | PK | |
| 004633600 | Medicaid | FL |
Other names 1
- Rx Express of Milton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121026000647 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 0042460073 | Practice locations: Milton, FL |
National Provider Directory
National Provider DirectoryLocations
5941 Berryhill Rd
#H
Milton, FL 32570
5987 Berryhill Rd
Milton, FL 32570
Phone (850) 623-6008
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Pace, FL
- NPI 1871888255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761696000000",
"number": "1619240942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5987 BERRYHILL RD",
"city": "MILTON",
"state": "FL",
"postal_code": "325704043",
"telephone_number": "850-623-6337",
"fax_number": "850-623-6339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5987 BERRYHILL RD",
"city": "MILTON",
"state": "FL",
"postal_code": "325704043",
"telephone_number": "850-623-6337",
"fax_number": "850-623-6339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RX EXPRESS PHARMACY OF MILTON INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-16",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A",
"authorized_official_last_name": "WALTERS",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PRESIDENT/PHARMACY MANAGER",
"authorized_official_telephone_number": "850-637-6844"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH25939",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2133981",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004633600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rx Express of Milton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Milton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.