Organization
EXPRESS MEDS RX LLC
Active
Organization
EXPRESS MEDS RX LLC
Active
Other names
EXPRESS MEDS RX LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO LUACES (VP)
(239) 936-1041
Entity
Organization
Contact information
Practice address
1860 BOY SCOUT DR, STE 201, FORT MYERS, FL 33907-2144
(239) 274-3269
(239) 936-1761
Mailing address
PO BOX 9830, SALT LAKE CITY, UT 84109-9830
(801) 716-4721
(801) 716-4872
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019834
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
31346700
—
FL
Enumeration date
08/10/2006
Last updated
09/16/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up