Organization Active NPI

RX21 LLC

  • Community/Retail Pharmacy
  • Rocky River, OH
National Provider Identifier
1902116205
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022056400 Issued in OH
Legal business name
RX21 LLC
Practice address
20160 Center Ridge Rd Ste 202
Rocky River, OH 44116-3507
Phone
(888) 792-1552
Fax
(888) 216-2510
NPI assigned
Oct 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
David Hollis
Title
Owner
Phone
(888) 792-1552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 022056400 OH Primary

Addresses

Primary practice location

20160 Center Ridge Rd Ste 202
Rocky River, OH 44116-3507

Mailing address

20160 Center Ridge Rd
Suite 202
Rocky River, OH 44116-3591
Phone (888) 792-1552

Other identifiers 1

IdentifierTypeStateIssuer
3679505OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Rx21, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

20160 Center Ridge Rd
Ste 202
Rocky River, OH 44116
Phone (888) 792-1552

20160 Center Ridge Rd
#202
Rocky River, OH 44116
Phone (440) 356-9600

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1902116205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20160 CENTER RIDGE RD",
            "address_2": "SUITE 202",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163591",
            "telephone_number": "888-792-1552",
            "fax_number": "888-216-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20160 CENTER RIDGE RD STE 202",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163507",
            "telephone_number": "888-792-1552",
            "fax_number": "888-216-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX21 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "HOLLIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-792-1552"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022056400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3679505",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rx21, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.