EXPRESS RX (NPI# 1679859177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679859177 |
| Entity Type | Organization |
| Organization Name | EXPRESS RX |
| Other Organization Name | EXPRESS RX |
| Practice Address |
18255 First St Keller VA 23422 |
| Mailing Address |
Po Box 381 Keller VA 23401-0381 |
| Practice Telephone | 7577871540 |
| Practice Fax Number | 7577872007 |
| Mailing Telephone | 7577871540 |
| Mailing Fax Number | 7577872007 |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-11-29 |
| Authorized Official Name | RICK BERGERON (OWNER) |
| Authorized Official Telephone | 7577871540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201004426 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4843480 | 01 |
| Other Name | Type Code |
|---|---|
| express rx | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Express Rx LLC | 18255 First St, Keller, Virginia 23422 |
| Washington State Corporations | EXPRESS RX, LLC | 3535 Briarpark Dr Ste 110, Houston, TX 77042-5280 |
| Street Address |
18255 FIRST ST |
| City | KELLER |
| State | VA |
| Zip Code | 23422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588914378 | Riverside Physician Services Inc | Orthopaedic Surgery | 11224 Lankford Hwy, Temperanceville, VA 23422 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447669 | Jorge Piedra | Pharmacist | 1542 Treehouse Ln S, Keller, TX 76262-8949 | 2020-11-03 |
| 1609475557 | Neyssa Liz Encarnacion | Massage Therapist | 200 N Rufe Snow Dr Ste 121, Keller, TX 76248-4239 | 2020-10-21 |
| 1952908287 | Emilia Pullis | Occupational Therapist | 1502 Sarah Brooks Dr, Keller, TX 76248-2008 | 2020-10-09 |
| 1346855111 | Jenna Brooke Jennings | Occupational Therapist | 630 Stoneglen Dr, Keller, TX 76248-1316 | 2020-09-09 |
| 1295340131 | Huy Thanh Dong | Dentist | 1309 Cadbury Ln, Keller, TX 76248-7205 | 2020-09-08 |
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1598379943 | Stefanie Long | Physical Therapist | 704 Creek Bluff Dr, Keller, TX 76248-6834 | 2020-09-03 |
| 1003429671 | Edith Lamira Odiwo | Nurse Practitioner | 9908 Croswell St, Keller, TX 76244-2098 | 2020-08-25 |
| 1013527779 | James Michael Varnell | Pharmacist | 1900 Silkwood Ct, Keller, TX 76248-8471 | 2020-08-06 |
| 1316556145 | Tyler Woodall | Counselor | 1668 Keller Parkway, Suite 200, Keller, TX 76248 | 2020-07-28 |
| Find all providers in KELLER | ||||
| 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 |
|---|---|---|---|---|
| 1366094955 | Seven Seas Pharma Inc. | Pharmacy | 891 East Keller Pkwy, Ste 101-b, Keller, TX 76248-2486 | 2019-07-12 |
| 1780781286 | Cvs Pharmacy Inc | Pharmacy | 801 N Tarrant Pkwy, Keller, TX 76248-6860 | 2006-09-20 |
| 1881792638 | Cvs Pharmacy Inc | Pharmacy | 4464 N Tarrant Pkwy, Keller, TX 76248-0922 | 2006-09-20 |
| 1174627970 | Cvs Pharmacy Inc | Pharmacy | 101 N Rufe Snow Dr, Keller, TX 76248-4243 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788381 | Maysons Pharmacy At Retreat Inc | Pharmacy | 110 N Robinson St Ste 101, Richmond, VA 23220-4459 | 2020-10-23 |
| 1275156572 | Herbert T Nguyen | Pharmacy | 5100 Harford Ln, Burke, VA 22015-1510 | 2020-05-20 |
| 1932720174 | Warrington Wellness and Compounding Pharmacy | Pharmacy | 805 Kent Pl Ste 104, Chesapeake, VA 23320-0768 | 2020-04-28 |
| 1467081273 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Hwy # 109b, Centreville, VA 20121-5829 | 2020-04-03 |
| 1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
| 1477193936 | Anderson & Payne Pharmacy Inc | Pharmacy | 16 Gosnell Xing Ste 101, Staunton, VA 24401-6344 | 2020-01-13 |
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
| 1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
| Find all providers with the same taxonomy | ||||
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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.