Ez RX Bonita Springs LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EZ RX BONITA SPRINGS LLC

Practice address

13141 McGregor Blvd Ste 7
Fort Myers, FL 33919-5926

Phone

(239) 301-5058

Fax

(239) 790-5182

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Austin Sharp

Title

Manager

Phone

(239) 301-5058

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• MY CHOICE RX Doing business as

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1891242798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 CONROY WINDERMERE RD UNIT 216",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865009",
            "telephone_number": "239-301-5058",
            "fax_number": "239-790-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13141 MCGREGOR BLVD STE 7",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195926",
            "telephone_number": "239-301-5058",
            "fax_number": "239-790-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ RX BONITA SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-301-5058"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH30329",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care 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": "2163870",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MY CHOICE RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ez RX Bonita Springs LLC
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• Carolina Fabian, LMFT
• Camila Shaiel Fabius

• Community/Retail Pharmacy in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.