MEDICARE: EXPRESS RX, 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	332B00000X	Durable Medical Equipment & Medical Supplies	0097131	TX

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972711968
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXPRESS RX, LLC

Provider Business Mailing Address
First Line	:	3535 BRIARPARK DR
Second Line	:	SUITE 110
City	:	HOUSTON
State	:	TX
Zip	:	77042-5280
Country	:	US
Telephone Number	:	800-503-7604
Fax Number	:	866-300-9797

Provider Business Practice Location Address
First Line	:	3535 BRIARPARK DR
Second Line	:	SUITE 110
City	:	HOUSTON
State	:	TX
Zip	:	77042-5280
Country	:	US
Telephone Number	:	800-503-7604
Fax Number	:	866-300-9797

Authorized Official
Title or Position	:	CEO
Name	:	MR. JP MONTEVERDE III
Credential	:
Telephone Number	:	800-503-7604

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	07/30/2020

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Directions to “EXPRESS RX, LLC ” Practice Location

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