Healthcare Provider Details

I. General information

NPI: 1134044944
Provider Name (Legal Business Name): RUBYMEDRX PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6305 CAMERON RD STE 117A
AUSTIN TX
78723-1173
US

IV. Provider business mailing address

675 W MOANA LN STE 123
RENO NV
89509-4973
US

V. Phone/Fax

Practice location:
  • Phone: 512-524-6888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MAX IANTORNO
Title or Position: CEO
Credential:
Phone: 858-692-8731