RX Florida Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RX FLORIDA PHARMACY LLC

Doing business as

RX Florida Pharmacy

Practice address

3615 Columbia Street
Orlando, FL 32805

Phone

(407) 704-6422

Fax

(407) 704-6322

NPI assigned

Feb 13, 2015

Organization subpart

No

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

Authorized official

Name

Tope Kassim Mabifa, PHARM D

Title

Pharmacist/Owner

Phone

(407) 704-6422

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• RX Florida Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Girma Biru Huresae, RPH

  • Pharmacist
  • Orlando, FL
  • NPI 1689051179
  NPD

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1750772612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 HERRINGBONE WAY ORMOND BEACH. FL 32174",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "678-559-6734",
            "fax_number": "407-704-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 COLUMBIA STREET",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32805",
            "telephone_number": "407-704-6422",
            "fax_number": "407-704-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX FLORIDA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2025-06-30",
        "certification_date": "2022-11-25",
        "status": "A",
        "authorized_official_last_name": "MABIFA",
        "authorized_official_first_name": "TOPE",
        "authorized_official_middle_name": "KASSIM",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "407-704-6422",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PH28826",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28826",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014580000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RX Florida Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RX Florida Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Crichlow Rutledge, MD
• Shannon Grace Rutter, M.S.
• Celina Ruyssers, P.A.
• Gerardo Javier Ruz Baudino, NP
• RW Family Practice & Preventive Care, LLC.
• RX Management Consultants, LLC
• RX Marine Inc (MC Pharmacy)
• RX One Pharmacy LLC (Rx One Pharmacy)
• Rxpro Solutions LLC
• Ryan Nicholas OD LLC

• Community/Retail Pharmacy in Orlando, FL
• Providers in Orlando, 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 Jun 30, 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.