Healthcare Provider Details
I. General information
NPI: 1508332503
Provider Name (Legal Business Name): URGENTMEDRX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/17/2018
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4901 NW 17TH WAY STE 302
FT LAUDERDALE FL
33309-3772
US
IV. Provider business mailing address
4901 NW 17TH WAY STE 302
FT LAUDERDALE FL
33309-3772
US
V. Phone/Fax
- Phone: 855-939-6337
- Fax: 740-888-0306
- Phone: 855-939-6337
- Fax: 740-888-0306
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LIANE
PARKER
Title or Position: CHIEF CLINICAL OFFICER
Credential: RN CPHM
Phone: 740-994-1811