Rxjvs Pro

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

32015 Issued in TX

Legal business name

RXJVS PRO

Practice address

5804 Coit Rd Ste 100
Plano, TX 75023-5955

Phone

(469) 931-2253

Fax

(469) 931-2246

NPI assigned

May 1, 2018

Organization subpart

No

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

Authorized official

Name

Estefani Delgado

Title

Owner

Phone

(469) 931-2253

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• PRO HEALTH PHARMACY Other name

Locations

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1770072159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CALLOWAY ST STE A",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984206",
            "telephone_number": "469-931-2253",
            "fax_number": "469-931-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 COIT RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235955",
            "telephone_number": "469-931-2253",
            "fax_number": "469-931-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXJVS PRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "ESTEFANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-931-2253"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "32015",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177807",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO HEALTH PHARMACY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PRO HEALTH PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Anthony Russo, MD
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• RW Anesthesia PLLC
• RX World LLC
• Allie Doyle Ryan, PA-C
• G. Alicia Alicia Ryan, RN, MSN
• James Conner Ryan, MD
• Patrick J Ryan II, D.D.S.
• Susan Diane Ryan, PAC

• Community/Retail Pharmacy in Plano, TX
• Providers in Plano, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.