Provider Demographics
NPI:1578574133
Name:RX PLUS INC
Entity Type:Organization
Organization Name:RX PLUS INC
Other - Org Name:VILLAGE MARKET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-354-2877
Mailing Address - Street 1:PO BOX 870
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-0870
Mailing Address - Country:US
Mailing Address - Phone:740-354-2877
Mailing Address - Fax:740-354-1033
Practice Address - Street 1:3920 US HIGHWAY 23
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-6468
Practice Address - Country:US
Practice Address - Phone:740-354-2877
Practice Address - Fax:740-355-2360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH021436000333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2483601Medicaid
OH02-1436000OtherSTATE LICENCE #
OH3672626OtherNABP
OH3672626OtherNABP
OH2483601Medicaid
OH02-1436000OtherSTATE LICENCE #