MEDICARE: MYRXWALLET, CORPORATION

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	247000000X	Health Information Technician

General Provider Information

NPI Number	:	1578317566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYRXWALLET, CORPORATION

Provider Business Mailing Address
First Line	:	7995 BLUE DIAMOND RD # 102-638
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-9301
Country	:	US
Telephone Number	:	702-546-8686
Fax Number	:

Provider Business Practice Location Address
First Line	:	8494 RUSHFIELD AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-4807
Country	:	US
Telephone Number	:	702-559-3489
Fax Number	:

Authorized Official
Title or Position	:	TECHNOLOGY ARCHITECT
Name	:	CHANH TRINH
Credential	:	N/A
Telephone Number	:	702-546-8686

Provider Enumeration Date	:	04/16/2024
Last Update Date	:	04/16/2024

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