RX Depot Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH 24964 Issued in FL

Legal business name

RX DEPOT CORP

Practice address

5559 N State Road 7
Fort Lauderdale, FL 33319-2923

Phone

(954) 306-6306

Fax

(954) 306-6185

NPI assigned

Oct 26, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Laura Suhanov

Title

President

Phone

(954) 306-6306

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1639479512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5559 N STATE ROAD 7",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333192923",
            "telephone_number": "954-306-6306",
            "fax_number": "954-306-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5559 N STATE ROAD 7",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333192923",
            "telephone_number": "954-306-6306",
            "fax_number": "954-306-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX DEPOT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "SUHANOV",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-306-6306",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH 24964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCUMENT NUMBER",
            "identifier": "2511",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Damin Russo, MD
• Clara Ann Rust, PT
• Jack R Rust, PHYSICAL THERAPIST
• Chelsea Rutherford, APRN- FNP-C
• RX Care Retail Services, Inc.
• Cynthia Ryan, MSN, ARNP, FNP-C
• Heather Lynn Ryan, DMD
• Marlin Ryan, RBT
• Yulia Rybalka
• S T E P H Inc

• Community/Retail Pharmacy in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.