Organization Active NPI

Rav-Bal, Inc

  • Community/Retail Pharmacy
  • Madeira Beach, FL
National Provider Identifier
1821046111
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH21082 Issued in FL
Legal business name
RAV-BAL, INC
Practice address
5322 Duhme Rd
Madeira Beach, FL 33708-2755
Phone
(727) 398-5020
Fax
(727) 395-9381
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Mrs. Anila Amin
Title
President
Phone
(727) 398-5020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH21082 FL Primary

Addresses

Primary practice location

5322 Duhme Rd
Madeira Beach, FL 33708-2755

Mailing address

5322 Duhme Rd
Madeira Beach, FL 33708-2755
Phone (727) 398-5020

Other names 1

  • THE RX SHOP Doing business as

National Provider Directory

National Provider Directory

Locations

5322 Duhme Rd
St Petersburg, FL 33708
Phone (727) 398-5020

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1821046111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 DUHME RD",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "337082755",
            "telephone_number": "727-398-5020",
            "fax_number": "727-395-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 DUHME RD",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "337082755",
            "telephone_number": "727-398-5020",
            "fax_number": "727-395-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAV-BAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "ANILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-398-5020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH21082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE RX SHOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madeira Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.