RX Holdings, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60006641A Issued in IN

Legal business name

RX HOLDINGS, LLC

Doing business as

3 Rivers Pharmacy

Practice address

3537 N Anthony Blvd
Fort Wayne, IN 46805-1423

Phone

(260) 373-1083

Fax

(260) 739-3927

NPI assigned

Nov 27, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Sheila Walker, PHARMACISTNPI 1932613171

Title

Owner

Phone

(317) 991-0858

Specialties & licenses 3

Addresses

Other names 1

• 3 Rivers Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Sheila Walker, PHARMACIST

  • Pharmacist
  • Fort Wayne, IN
  • NPI 1932613171
  NPD Authorized official
• Mary A. Crane

  • Pharmacist
  • Warsaw, IN
  • NPI 1306439922
  NPD (past)

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1811401052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 N ANTHONY BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051423",
            "telephone_number": "260-373-1083",
            "fax_number": "260-739-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 N ANTHONY BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051423",
            "telephone_number": "260-373-1083",
            "fax_number": "260-739-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-991-0858",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "60006641A",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006641A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3 Rivers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mykayla Russell
• Wesley Alan Russell, M.D.
• Prevesh K Rustagi, M.D.
• Kathy L Rutan, MSW
• Steven Ray Rutan, O.D.
• Ryan Beeching Counseling LLC
• Jessica Lee Ryan
• Peggy A Ryan, APRN,BC,ANP
• Sayge Ryan, CTRS
• Shirley Ann Ryan, MS, LMHC, LMFTA

• Community/Retail Pharmacy in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.