Organization Active NPI

Ghost RX Inc

  • Contractor
  • Orlando, FL
National Provider Identifier
1689347064
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
GHOST RX INC
Practice address
1561 S Alafaya TRL Ste 200
Orlando, FL 32828-8956
Phone
(704) 996-6086
NPI assigned
Jul 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Authorized official

Name
Jake Myers
Title
Ceo
Phone
(704) 996-6086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

1561 S Alafaya TRL Ste 200
Orlando, FL 32828-8956

Mailing address

1561 S Alafaya TRL Ste 200
Orlando, FL 32828-8956
Phone (704) 996-6086

Other names 1

  • Ghost Rx Inc Doing business as

National Provider Directory

National Provider Directory

Locations

1561 S Alafaya Trl
Ste 200
Orlando, FL 32828
Phone (407) 382-5551

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1689347064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 S ALAFAYA TRL STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288956",
            "telephone_number": "704-996-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 S ALAFAYA TRL STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288956",
            "telephone_number": "704-996-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHOST RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-996-6086"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ghost Rx Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.