Rxrevive LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RXREVIVE LLC

Practice address

112 Main Street
Savannah, TN 38372-2412

Phone

(731) 327-6285

Fax

(731) 925-6247

NPI assigned

Aug 7, 2026

Organization subpart

No

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

Authorized official

Name

Angela Jean Etheridge, PHARM D

Title

Owner

Phone

(731) 925-0838

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1942124334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MAIN STREET",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383722412",
            "telephone_number": "731-327-6285",
            "fax_number": "731-925-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAIN STREET",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383722412",
            "telephone_number": "731-327-6285",
            "fax_number": "731-925-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXREVIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "ETHERIDGE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-925-0838",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Savannah, TN
• Providers in Savannah, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.