MEDICARE: URGENTMEDRX, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	3336S0011X	Specialty Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508332503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENTMEDRX, LLC

Provider Business Mailing Address
First Line	:	4901 NW 17TH WAY STE 302
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-3772
Country	:	US
Telephone Number	:	855-939-6337
Fax Number	:	740-888-0306

Provider Business Practice Location Address
First Line	:	4901 NW 17TH WAY STE 302
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-3772
Country	:	US
Telephone Number	:	855-939-6337
Fax Number	:	740-888-0306

Authorized Official
Title or Position	:	CHIEF CLINICAL OFFICER
Name	:	LIANE PARKER
Credential	:	RN CPHM
Telephone Number	:	740-994-1811

Provider Enumeration Date	:	10/17/2018
Last Update Date	:	07/07/2025

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Directions to “URGENTMEDRX, LLC ” Practice Location

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