Provider Demographics
NPI:1548595689
Name:RX HEALTH LLC
Entity Type:Organization
Organization Name:RX HEALTH LLC
Other - Org Name:RAYFORD ACP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TRONOWN
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:832-454-2848
Mailing Address - Street 1:21602 E HARDY RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073
Mailing Address - Country:US
Mailing Address - Phone:281-367-2700
Mailing Address - Fax:281-367-2701
Practice Address - Street 1:440 RAYFORD RD STE 155
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386
Practice Address - Country:US
Practice Address - Phone:281-367-2700
Practice Address - Fax:281-367-2701
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RX HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-10-07
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X, 3336L0003X
TX266243336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX466642Medicaid
2122057OtherPK