NPI 1053716936 · live from the CMS NPI Registry
Advanced Rx Derm, LLC
Pharmacy, Community/Retail Pharmacy in St Pete Beach, FL. National Provider Identifier 1053716936, active.
NPI record
| NPI | 1053716936 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 7500 Gulf Blvd, St Pete Beach, FL 33706 |
| Practice phone | 407-753-6310 |
| Mailing address | Po Box 1730, Lutz, FL 33548 |
| Enumerated | November 4, 2014 |
| Last updated | May 29, 2020 |
| Authorized official | Parvinder Kainth, Manager |
| Other names | Advanced Rx Pharmacy 027 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | PH28614 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.