Royal Palm Specialty Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

DS89765 Issued in MA

Legal business name

ROYAL PALM SPECIALTY PHARMACY LLC

Practice address

118 Main St
Webster, MA 01570-5205

Phone

(508) 461-4045

Fax

(508) 461-4044

NPI assigned

Apr 29, 2011

Organization subpart

No

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

Authorized official

Name

Agnes Rubin, RPH

Title

Pres

Phone

(508) 461-4045

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Royal Palm Specialty Pharmacy LLC Doing business as

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1689965261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MAIN ST",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015705205",
            "telephone_number": "508-461-4045",
            "fax_number": "508-461-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAIN ST",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015705205",
            "telephone_number": "508-461-4045",
            "fax_number": "508-461-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL PALM SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "AGNES",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "508-461-4045",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS89765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2243537",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Palm Specialty Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Rodgers
• Angelica Rodriguez
• Bryan Joseph Rodriguez, BA
• Gil Rohald, M.D.
• Desiree Roussin
• Agnes Sylvia Rubin, RPH
• Ryan P Harrington DMD and Associates PC
• Mai M Saadallah, PHARMACIST
• Samaritan Health & Home Care, Inc
• Taylor Danielle Schiff, MA

• Community/Retail Pharmacy in Webster, MA
• Providers in Webster, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.