Rxpert 1 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH21596 Issued in FL

Legal business name

RXPERT 1 LLC

Doing business as

RXPERT #1 PHARMACY LLC

Practice address

2177 Kingsley Ave
Orange Park, FL 32073-5199

Phone

(904) 272-1690

Fax

(904) 272-1691

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Janet Sawicki, RPH

Title

Pharmacy Manager

Phone

(904) 272-1690

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RXPERT #1 PHARMACY LLC Doing business as

Tax ID family

Rxpert 1 LLC2 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.

• Rxpert #1 LLC

  • Geriatric Pharmacist
  • Orange Park, FL
  • NPI 1548345945
  NPD tax ID

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1922025600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 KINGSLEY AVE",
            "address_2": "SUITE #1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735199",
            "telephone_number": "904-272-1690",
            "fax_number": "904-272-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735199",
            "telephone_number": "904-272-1690",
            "fax_number": "904-272-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXPERT 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "SAWICKI",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "904-272-1690",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH21596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031132400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2005362",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RXPERT #1 PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandria Russell
• Pamela Russell, TH. D.
• Anthony J Russo, PTA
• Jeffrey Allyn Ruterbusch, D.O.
• Rxpert #1 LLC
• Rxpert Pharmacy LLC
• Felicia Ryals
• Elizabeth Lang Ryder, DO
• Hailey Ryder
• Rylans Way Incorporated

• Community/Retail Pharmacy in Orange Park, FL
• Providers in Orange Park, 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 Aug 19, 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.