Organization Active NPI

RX Express Pharmacy of Milton Inc

  • Community/Retail Pharmacy
  • Milton, FL
National Provider Identifier
1619240942
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25939 Issued in FL
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

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Matthew WaltersNPI 1871888255
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2133981OtherPK
004633600MedicaidFL

Other names 1

  • Rx Express of Milton Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121026000647 FL Part B Supplier - Mass Immunization (Roster Biller Only) 0042460073 Practice locations: Milton, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.