NPI Code Details Logo

NPI 1104725662

NPI 1104725662 : PHARMACY RX PLUS LLC : GAINESVILLE, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1104725662
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PHARMACY RX PLUS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/02/2026
-----------------------------------------------------
    Last Update Date     |    11/02/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5001 NW 34TH BLVD 
-----------------------------------------------------
    City                 |    GAINESVILLE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32605-6117
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    352-519-5795
-----------------------------------------------------
    Fax                  |    352-519-5797
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    23 NW 33RD CT 
-----------------------------------------------------
    City                 |    GAINESVILLE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32607-2530
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    352-519-5795
-----------------------------------------------------
    Fax                  |    352-519-5796
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MANAGER
-----------------------------------------------------
    Name                 |     JONATHAN ADE TUMA 
-----------------------------------------------------
    Credential           |    TUMA
-----------------------------------------------------
    Telephone            |    352-379-6143
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    333600000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.