REXTOX CONSULTANT LLC (NPI# 1255800132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255800132 |
| Entity Type | Organization |
| Organization Name | REXTOX CONSULTANT LLC |
| Practice Address |
1810 Highway 20 Se Ste 174 Conyers GA 30013-2001 |
| Mailing Address |
2630 Wellington Way Se Conyers GA 30013-6413 |
| Practice Telephone | 6784789511 |
| Mailing Telephone | 6784789511 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |
| Authorized Official Name | RAPHAEL OGUNSUSI (OWNER) |
| Authorized Official Telephone | 6784789511 |
| Authorized Official Credential | PHARMACY |
| Is Organization Subpart | Y |
| Parent Organization Name | RETOX HEALING HANDS PHARMACY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Retox Healing Hands Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023500501 | Rextox Consultant LLC | Pharmacy | 7525 Covington Hwy Ste G, Lithonia, GA 30058-7439 | 2018-05-31 |
| Street Address |
1810 HIGHWAY 20 SE STE 174 |
| City | CONYERS |
| State | GA |
| Zip Code | 30013-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842295 | Fit Therapy, LLC | Physical Therapist | 2008 Eastview Parkway, Suite 150, Conyers, GA 30013 | 2020-05-12 |
| 1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
| 1386201820 | Achundris P Taylor | Social Worker | Harvest Grove Lane, Conyers, GA 30013 | 2019-05-21 |
| 1588153381 | Curbside Medical Transporters | Ambulance | 2404 Brynlyn Woods Dr Ne, Conyers, GA 30013 | 2018-05-07 |
| 1184124877 | Nursing Companion, LLC | Homemaker | 1064 Duke Dr, Conyers, GA 30013 | 2018-02-19 |
| 1588163638 | Atlanta Plus Urgent Care | Clinic/Center | 2121 Salem Rd. Se, Conyers, GA 30013 | 2018-02-05 |
| 1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
| 1063941490 | Comprehensive Health and Rehab LLC | Clinic/Center | 2500 Riverton Drive, Conyers, GA 30013 | 2017-06-08 |
| 1306373188 | Graceol Corporation | Family Medicine | 1035 Honey Creek Rd, Conyers, GA 30013 | 2017-05-11 |
| 1881149268 | Jsa Dental Associates Conyers PC | Dentist | 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 | 2016-08-16 |
| Find all providers in zip 30013 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730739426 | Eagle Rx LLC | Pharmacy | 1029 Honey Creek Rd Se, Conyers, GA 30013-2948 | 2019-09-16 |
| 1023673746 | Nir-mal Ventures, Inc | Pharmacy | 2020 Eastside Dr Ste 206, Conyers, GA 30013-1955 | 2019-05-08 |
| 1669831012 | Shreeji Pharmacy LLC | Pharmacy | 405 Sigman Rd Nw Ste B, Conyers, GA 30012-3625 | 2016-02-14 |
| 1174836845 | Southern Pain Institute P C | Pharmacy | 1501 Milstead Rd Ne Ste 140, Conyers, GA 30012-3849 | 2010-07-22 |
| 1013041722 | Beasley Drug Company | Pharmacy | 933 Center St Ne, Conyers, GA 30012-4567 | 2007-03-15 |
| 1669554804 | Georgia Cvs Pharmacy LLC | Pharmacy | 2195 Highway 20 Se, Conyers, GA 30013-2028 | 2006-10-19 |
| 1982707717 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 3481 Highway 20 Se, Conyers, GA 30013-2862 | 2006-09-07 |
| 1801999651 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 1541 Georgia Highway 20 Ne, Conyers, GA 30012-3834 | 2006-09-07 |
| 1073521845 | Cowan Pharmacy LLC | Pharmacy | 1179 West Ave Sw, Conyers, GA 30012-5280 | 2006-08-04 |
| 1558875294 | Cowan Pharmacy LLC | Pharmacy | 1179 West Ave Sw, Conyers, GA 30012-5280 | 2017-11-16 |
| Find all providers in CONYERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.