Organization Active NPI

Divyo Health Solutions Inc

  • Pharmacy
  • Rome, GA
National Provider Identifier
1891449872
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
DIVYO HEALTH SOLUTIONS INC
Practice address
320 W 9TH St NE
Rome, GA 30165-2726
Phone
(855) 675-5210
Fax
(855) 675-5212
NPI assigned
Feb 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Tony Rayfus
Title
Owner
Phone
(855) 675-5210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

320 W 9TH St NE
Rome, GA 30165-2726

Mailing address

PO Box 108
Rome, GA 30162-0108
Phone (855) 675-5210

Other identifiers 1

IdentifierTypeStateIssuer
1174898464OtherGADERMATRAN HEALTH SOLUTIONS

National Provider Directory

National Provider Directory

Locations

320 W 9th St NE
Rome, GA 30165
Phone (855) 675-5210

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1891449872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620108",
            "telephone_number": "855-675-5210",
            "fax_number": "855-675-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W 9TH ST NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652726",
            "telephone_number": "855-675-5210",
            "fax_number": "855-675-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVYO HEALTH SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "RAYFUS",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-675-5210"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DERMATRAN HEALTH SOLUTIONS",
            "identifier": "1174898464",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.