Healthcare Provider Details

I. General information

NPI: 1780811380
Provider Name (Legal Business Name): TRANSPARENTRX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2009
Last Update Date: 12/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 CENTENNIAL RD STE G
TOLEDO OH
43617-1800
US

IV. Provider business mailing address

2850 W HORIZON RIDGE PKWY SUITE 200
HENDERSON NV
89052-4395
US

V. Phone/Fax

Practice location:
  • Phone: 866-499-1940
  • Fax: 866-515-9591
Mailing address:
  • Phone: 866-499-1940
  • Fax: 248-274-1072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberMOP 021957250
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TYRONE SQUIRES
Title or Position: MANAGING DIRECTOR
Credential: MBA
Phone: 866-499-1940