Healthcare Provider Details

I. General information

NPI: 1386946580
Provider Name (Legal Business Name): RX ONE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2010
Last Update Date: 08/25/2020
Certification Date: 08/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 W LANCHESTER RD
ORLANDO FL
32809
US

IV. Provider business mailing address

717 W LANCHESTER RD
ORLANDO FL
32809
US

V. Phone/Fax

Practice location:
  • Phone: 407-855-4770
  • Fax: 407-855-4772
Mailing address:
  • Phone: 407-855-4770
  • Fax: 407-855-4772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH25034
License Number StateFL

VIII. Authorized Official

Name: ALPESH PATEL
Title or Position: OWNER
Credential:
Phone: 813-304-2221