Healthcare Provider Details

I. General information

NPI: 1790066348
Provider Name (Legal Business Name): RX AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2011
Last Update Date: 03/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 BERKSHIRE AVE
REDWOOD CITY CA
94063-3632
US

IV. Provider business mailing address

11 BERKSHIRE AVE
REDWOOD CITY CA
94063-3632
US

V. Phone/Fax

Practice location:
  • Phone: 650-216-9800
  • Fax: 650-216-9805
Mailing address:
  • Phone: 650-216-9800
  • Fax: 650-216-9805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number53894
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ROSEMARIE VERIDIANO
Title or Position: PIC
Credential:
Phone: 650-580-2983