NPIMap

Organization Active NPI

RR Medco LLC

  • Non-Pharmacy Dispensing Site
  • Pompano Beach, FL
National Provider Identifier
1851762769
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
ME53109
Legal business name
RR MEDCO LLC
Practice address
100 E Sample Rd Ste 320
Pompano Beach, FL 33064-3554
Phone
(754) 264-7540
Fax
(754) 222-9389
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Mr. Raymond Di Iulio
Title
Managing Member
Phone
(754) 264-7540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X ME53109 Primary

Addresses

Primary practice location

100 E Sample Rd Ste 320
Pompano Beach, FL 33064-3554

Mailing address

100 E Sample Rd
Suite 320
Pompano Beach, FL 33064-3554
Phone (754) 264-7540

Other identifiers 1

IdentifierTypeStateIssuer
2155098OtherPK

Other names 1

  • Health Source Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Source Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1851762769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SAMPLE RD",
            "address_2": "SUITE 320",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643554",
            "telephone_number": "754-264-7540",
            "fax_number": "754-222-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SAMPLE RD STE 320",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643554",
            "telephone_number": "754-264-7540",
            "fax_number": "754-222-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RR MEDCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "DI IULIO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "754-264-7540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": "ME53109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155098",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Source Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.