RR MEDCO LLC


Address: 100 E Sample Rd Ste 320, Pompano Beach, FL 33064-3554
Phone: 7542647540

RR MEDCO LLC (NPI# 1851762769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851762769
Entity Type Organization
Organization Name RR MEDCO LLC
Other Organization Name HEALTH SOURCE WELLNESS CENTER
Practice Address 100 E Sample Rd Ste 320
Pompano Beach
FL 33064-3554
Mailing Address 100 E Sample Rd
Suite 320
Pompano Beach
FL 33064-3554
Practice Telephone 7542647540
Practice Fax Number 7542229389
Mailing Telephone 7542647540
Mailing Fax Number 7542229389
Enumeration Date 2015-10-19
Last Update Date 2016-02-22
Authorized Official Name MR. RAYMOND DI IULIO (MANAGING MEMBER)
Authorized Official Telephone 7542647540
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site ME53109 Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2155098 01

Other Provider/Organization Names

Other Name Type Code
Health Source Wellness Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1306214606 Rr Medco LLC Clinic/Center 100 E Sample Rd, Suite 320, Pompano Beach, FL 33064-3554 2015-09-03

Office Location

Street Address 100 E SAMPLE RD STE 320
City POMPANO BEACH
State FL
Zip Code 33064-3554

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1194248112 Mark Walter Gruber I Counselor 100 E Sample Rd., #320, Pompano Beach, FL 33064 2017-07-21
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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]

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NPI Name Taxonomy Address Enumeration
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1093027856 Dimitrios Lintzeris Do, Pa Non-Pharmacy Dispensing Site 1800 N Federal Hwy, Suite 207-8, Pompano Beach, FL 33062-1034 2010-07-09
1245408830 Coastal Pain Management Pompano Dispensary Non-Pharmacy Dispensing Site 2301 W Sample Rd, Suite 7a, Pompano Beach, FL 33073-3081 2008-02-15

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Competitor

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City POMPANO BEACH
Zip Code 33064

Improve Information

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Dataset Information

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.

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