=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073588380
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RX EXPRESS PHARMACY OF NAVARRE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/21/2006
-----------------------------------------------------
Last Update Date | 10/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8986 ORTEGA PARK DR
-----------------------------------------------------
City | NAVARRE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32566-4141
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-936-6446
-----------------------------------------------------
Fax | 850-936-6314
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8986 ORTEGA PARK DR
-----------------------------------------------------
City | NAVARRE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32566-4141
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-936-6446
-----------------------------------------------------
Fax | 850-806-1859
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | PAUL MCMELLEN
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 850-936-6446
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0004X
-----------------------------------------------------
Taxonomy Name | Compounding Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number | PH18588
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------