NPI 1104967066 · live from the CMS NPI Registry
Accumed Rx INC
Pharmacy, Mail Order Pharmacy in Tampa, FL. National Provider Identifier 1104967066, active.
NPI record
| NPI | 1104967066 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Mail Order Pharmacy 3336M0002X |
| Practice location | 3104 W Waters Ave, Ste 104, Tampa, FL 33614 |
| Practice phone | 813-865-1325 |
| Enumerated | February 12, 2007 |
| Last updated | September 11, 2025 |
| Authorized official | Eling Betancourt, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | PH21402 (FL) |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy, Mail Order Pharmacy primary | 3336M0002X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.