EVENTUS RX INC (NPI# 1770090482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770090482 |
| Entity Type | Organization |
| Organization Name | EVENTUS RX INC |
| Practice Address |
11300 Lindbergh Blvd Ste 107 Fort Myers FL 33913-8827 |
| Practice Telephone | 8662492696 |
| Mailing Telephone | 8662492696 |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2019-11-26 |
| Authorized Official Name | MR. JOHN EDWIN FORD (CEO) |
| Authorized Official Telephone | 8662492696 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PH31110 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PHARMACY LICENSE | PH31110 | 01 |
| Street Address |
11300 LINDBERGH BLVD STE 107 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33913-8827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096063 | John Edwin Ford Jr. | Pharmacist | 11300 Lindbergh Blvd Ste 107, Fort Myers, FL 33913-8827 | 2018-06-13 |
| 1336632322 | Raymond Bailey | Pharmacist | 11300 Lindbergh Blvd Ste 107, Fort Myers, FL 33913-8827 | 2018-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467079368 | Fq0014 | Clinic/Center | 11930 Fairway Lakes Dr, Ste 103, Fort Myers, FL 33913 | 2020-06-26 |
| 1386272334 | Chrysallis Wellness Center Inc | Counselor | 11932 Faiway Lakes, Fort Myers, FL 33913 | 2020-03-27 |
| 1811459399 | Kelly Christine Reynolds | Student in an Organized Health Care Education/Training Program | 11750 Rosemount Drive, Fort Myers, FL 33913 | 2019-04-03 |
| 1043784432 | Alex Richard Reynolds | Physician Assistant | 2700 Creekside Ln, Suit 101, Fort Myers, FL 33913 | 2019-01-18 |
| 1881196541 | Kara Seanor | Counselor | 12575 Stone Tower Loop, Fort Myers, FL 33913 | 2018-03-08 |
| 1063951515 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 13121 Paul J. Doherty Pkwy, Fort Myers, FL 33913 | 2017-02-16 |
| 1518337492 | Barry K Butler P.a. | Internal Medicine | 10708 Bradbury Way, Fort Myers, FL 33913 | 2015-10-05 |
| 1811322886 | Bernard Timothy Renner | Pharmacist | 10000 Gulf Coast Town Center Drive, Ft. Myers, FL 33913 | 2013-09-10 |
| 1831531979 | Debra Anne Channer | Pharmacist | 12550 Professional Park Drive Unit 1, Walgreens Co., Ft. Myers, FL 33913 | 2013-07-17 |
| 1144572249 | Victoria Sydeco Tayengco-maisog | Pediatrics | 9304 Trieste Drive, Fort Myers, FL 33913 | 2012-10-12 |
| Find all providers in zip 33913 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011890 | Green Star Pharmacy | Pharmacy | 2950 Winkler Ave Ste 701, Fort Myers, FL 33916-9322 | 2020-07-27 |
| 1265065783 | Prevent Rx 2, LLC | Pharmacy | 3677 Central Ave Ste A, Fort Myers, FL 33901-8226 | 2020-02-13 |
| 1083256317 | Promell Pharmacy | Pharmacy | 8291 Dani Dr Ste 103, Fort Myers, FL 33966-8009 | 2019-10-08 |
| 1649710534 | Gulf Coast Pharmacy Inc | Pharmacy | 6631 Orion Dr, Suite 112, Fort Myers, FL 33912-4333 | 2017-02-27 |
| 1548623028 | Univv I Inc | Pharmacy | 4857 Palm Beach Blvd Ste 1, Fort Myers, FL 33905-3206 | 2016-04-01 |
| 1528423670 | Genesiscare Usa of Florida LLC | Pharmacy | 2234 Colonial Blvd Ste 110, Fort Myers, FL 33907 | 2015-12-16 |
| 1558610527 | Revive Pharmacy Inc | Pharmacy | 16205 S Tamiami Trl, Suite # 6, Fort Myers, FL 33908-5304 | 2012-09-05 |
| 1194024406 | Sunset Pharmacy LLC | Pharmacy | 4224 Cleveland Ave Ste 5, Fort Myers, FL 33901-9051 | 2011-03-25 |
| 1821399114 | Dollar Rx Pharmacy | Pharmacy | 2950 Winkler Ave # 701, Fort Myers, FL 33916 | 2010-11-03 |
| 1730493636 | Option Care Enterprises, Inc. | Pharmacy | 14580 Global Pkwy, Suite 108, Fort Myers, FL 33913-8887 | 2010-08-03 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33913 |
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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.