Active NPI
RX Care Four LLC
- Community/Retail Pharmacy
- Palm Bay, FL
National Provider Identifier
1790747483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH26556
- Legal business name
- RX CARE FOUR LLC
- Practice address
- 1270 Malabar Rd SE
Ste 2
Palm Bay, FL 32907-3407 - Phone
- (321) 952-0656
- Fax
- (321) 952-0780
- NPI assigned
- Apr 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alpesh Patel
- Title
- Owner
- Phone
- (813) 304-2221
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH26556 | FL | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1270 Malabar Rd SE
Ste 2
Palm Bay, FL 32907-3407
Mailing address
1270 Malabar Rd SE
Suite 2
Palm Bay, FL 32907
Phone (321) 952-0656
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2138052 | Other | PK | |
| 007257600 | Medicaid | FL |
Other names 1
- Palm Bay Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598313600000",
"number": "1790747483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1270 MALABAR RD SE",
"address_2": "SUITE 2",
"city": "PALM BAY",
"state": "FL",
"postal_code": "32907",
"telephone_number": "321-952-0656",
"fax_number": "321-952-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 MALABAR RD SE",
"address_2": "STE 2",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329073407",
"telephone_number": "321-952-0656",
"fax_number": "321-952-0780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RX CARE FOUR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-06",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "ALPESH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-304-2221"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Diabetes Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH26556",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2138052",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007257600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Palm Bay Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.