MEDICARE: NOWRX INC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2191550	OTHER	NCPDP PHARMACY KEY
3	0364252	OTHER	NCPDP

General Provider Information

NPI Number	:	1669098257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOWRX INC

Provider Business Mailing Address
First Line	:	30025 ALICIA PARKWAY, SUITE 674
Second Line	:	ATTENTION: COMPLIANCE
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92677-0000
Country	:	US
Telephone Number	:	949-449-2700
Fax Number	:	949-606-9212

Provider Business Practice Location Address
First Line	:	2452 W BIRCHWOOD AVE STE 106
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85202-1067
Country	:	US
Telephone Number	:	480-400-3000
Fax Number	:	480-567-3193

Authorized Official
Title or Position	:	COMPLIANCE MANAGER
Name	:	CHRISTIE HANCOCK
Credential	:
Telephone Number	:	407-777-7435

Provider Enumeration Date	:	06/19/2020
Last Update Date	:	10/11/2022

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