Ez RX Boynton Beach LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH30330 Issued in FL

Legal business name

EZ RX BOYNTON BEACH LLC

Doing business as

My Choice RX

Practice address

190 Glades Rd Ste a
Boca Raton, FL 33432-1642

Phone

(561) 336-2617

Fax

(561) 336-2619

NPI assigned

Sep 8, 2016

Last updated

Mar 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Lavoie

Title

Owner

Phone

(954) 394-5374

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MY CHOICE RX Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1700333606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GLADES RD STE A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321642",
            "telephone_number": "561-336-2617",
            "fax_number": "561-336-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GLADES RD STE A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321642",
            "telephone_number": "561-336-2617",
            "fax_number": "561-336-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ RX BOYNTON BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "LAVOIE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-394-5374"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH30330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163868",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022575300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MY CHOICE RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.