Healthcare Provider Details

I. General information

NPI: 1770090482
Provider Name (Legal Business Name): EVENTUS RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2018
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11300 LINDBERGH BLVD STE 107
FORT MYERS FL
33913-8827
US

IV. Provider business mailing address

PO BOX 223017
PITTSBURGH PA
15251-2017
US

V. Phone/Fax

Practice location:
  • Phone: 866-249-2696
  • Fax: 866-330-7487
Mailing address:
  • Phone: 800-477-7375
  • Fax: 877-676-0493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH31110
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDER KATEN
Title or Position: CFO
Credential:
Phone: 720-282-2377