Elite Retail Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH30842 Issued in FL

Legal business name

ELITE RETAIL PHARMACY, INC.

Practice address

840 111TH Ave N Ste 7
Naples, FL 34108-1868

Phone

(239) 631-1173

Fax

(239) 631-1174

NPI assigned

Jul 23, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thanh Cong Van, R.PH.

Title

President

Phone

(234) 631-1173

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902329840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 111TH AVE N STE 7",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081868",
            "telephone_number": "239-631-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 111TH AVE N STE 7",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081868",
            "telephone_number": "239-631-1173",
            "fax_number": "239-631-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE RETAIL PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "THANH",
        "authorized_official_middle_name": "CONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "234-631-1173",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Naples, FL
• Providers in Naples, 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 Jul 21, 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.