Healthcare Provider Details

I. General information

NPI: 1720023047
Provider Name (Legal Business Name): RXPERT PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2177 KINGSLEY AVE
ORANGE PARK FL
32073-5199
US

IV. Provider business mailing address

2177 KINGSLEY AVE
ORANGE PARK FL
32073-5199
US

V. Phone/Fax

Practice location:
  • Phone: 904-272-1690
  • Fax: 386-272-1691
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH21596
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOHN HURLEY
Title or Position: COO
Credential:
Phone: 904-272-1690