=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659482701
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RAPID SCRIPTS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/31/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 777 E 25TH ST STE 120
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33013-3804
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-696-5464
-----------------------------------------------------
Fax | 305-696-5191
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 777 E 25TH ST
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33013-3825
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-696-5464
-----------------------------------------------------
Fax | 305-696-5191
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LEOPOLDINA LLUVET
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-696-5464
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | PH19438
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------