MEDICARE: RPH ENTERPRISES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1093678542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RPH ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	4121 HALIFAX RD
Second Line	:
City	:	SOUTH BOSTON
State	:	VA
Zip	:	24592-4833
Country	:	US
Telephone Number	:	434-323-4150
Fax Number	:	434-323-4151

Provider Business Practice Location Address
First Line	:	4121 HALIFAX RD
Second Line	:
City	:	SOUTH BOSTON
State	:	VA
Zip	:	24592-4833
Country	:	US
Telephone Number	:	434-323-4150
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST OWNER
Name	:	DR. TIFFANY FRANCISCO
Credential	:	PHARMD
Telephone Number	:	434-222-8506

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	03/03/2026

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Directions to “RPH ENTERPRISES LLC ” Practice Location

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