AETNA RX HOME DELIVERY (NPI# 1427096809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427096809 |
| Entity Type | Organization |
| Organization Name | AETNA RX HOME DELIVERY |
| Practice Address |
1600 Sw 80th Ter 2nd Floor Plantation FL 33324-4049 |
| Mailing Address |
1600 Sw 80th Ter Fl 2 Plantation FL 33324-4049 |
| Practice Telephone | 9546932800 |
| Practice Fax Number | 9546932905 |
| Mailing Telephone | 8666123862 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2019-03-01 |
| Authorized Official Name | TOKUNBO NIKE KASSIM (DIR, PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 9592993008 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PH21465 | FL | Suppliers |
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
PH21465 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | PH21465 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Aetna Rx Home Delivery LLC | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 |
| Virginia Business Entities | AETNA RX HOME DELIVERY LLC | 151 Farmington Ave, Hartford, Connecticut 06156 |
| Oregon Corporations, Companies and Business Names | AETNA RX HOME DELIVERY, LLC | 151 Farmington Avenue, Hartford, CT 06156 |
| Connecticut Business Registrations | Aetna Rx Home Delivery, LLC | 151 Farmington Avenue, Hartford, CT 06156 |
| Washington State Corporations | AETNA RX HOME DELIVERY, LLC | 151 Farmington Avenue, Hartford, CT 06156 |
| Oklahoma Business Registrations | AETNA RX HOME DELIVERY, LLC | 151 Farmington Avenue, Hartford, CT 06156 |
| Iowa Business Entities | AETNA RX HOME DELIVERY, LLC | 151 Farmington Avenue, Hartford, CT 06156 |
| Vermont Business Registrations | AETNA RX HOME DELIVERY, LLC | 151 Farmington Avenue, Hartford, CT 06156 |
| Indiana Business Entities | AETNA RX HOME DELIVERY, LLC | 151 Farmington Avenue, Hartford, CT 06156 |
| Colorado Business Entities | AETNA RX HOME DELIVERY, LLC | 151 Farmington Avenue, Hartford, CT 06156 |
| Street Address |
1600 SW 80TH TER 2ND FLOOR |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-4049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| 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 |
|---|---|---|---|---|
| 1245875616 | Zeta Meds | Pharmacy | 3850 Se 58th Ave, Ocala, FL 34480-7467 | 2019-11-08 |
| 1063976777 | Hiya Rx, LLC | Pharmacy | 1140 E Van Fleet Dr, Bartow, FL 33830-7626 | 2019-01-27 |
| 1316483258 | Mailmyprescriptions Com Pharmacy Corporation | Pharmacy | 622 Banyan Trl Ste 614, Boca Raton, FL 33431-5614 | 2017-01-17 |
| 1114477122 | Benecord Central Fill of Fl LLC | Pharmacy | 28000 Spanish Wells Blvd, Bonita Springs, FL 34135-2850 | 2016-10-13 |
| 1699195164 | Librty for All Pharmacy | Pharmacy | 3034 S Jog Road, Lake Woth, FL 33467-0000 | 2014-04-23 |
| 1053737015 | A&r Pharmacy | Pharmacy | 1201 Us Highway 1 Ste 248, North Palm Beach, FL 33408-8506 | 2014-03-13 |
| 1093143570 | Ergogenic Labs LLC | Pharmacy | 11496 Pierson Rd Ste C6, Wellington, FL 33414-8708 | 2013-10-21 |
| 1699113902 | Med Care Choice Pharmacy, Inc. | Pharmacy | 3570 Consumer St, 8, Riviera Beach, FL 33404-1740 | 2013-06-08 |
| 1386998623 | Lbg Holdings LLC | Pharmacy | 2864 W Main St, Leesburg, FL 34748-4631 | 2012-11-08 |
| 1144576463 | Aventura Rx Pharmacy Inc | Pharmacy | 18749 W Dixie Hwy, Miami, FL 33180-2617 | 2012-07-24 |
| Find all providers with the same taxonomy | ||||
| City | PLANTATION |
| Zip Code | 33324 |
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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.