Provider Demographics
NPI:1659377984
Name:RX.COM PHARMACY
Entity Type:Organization
Organization Name:RX.COM PHARMACY
Other - Org Name:RX.COM PARTNERS, LP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:F
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:TX 28534
Authorized Official - Phone:866-361-0300
Mailing Address - Street 1:401 S JIM WRIGHT FREEWAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76108-2681
Mailing Address - Country:US
Mailing Address - Phone:817-547-1000
Mailing Address - Fax:817-547-1049
Practice Address - Street 1:401 S JIM WRIGHT FREEWAY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76108-2681
Practice Address - Country:US
Practice Address - Phone:817-547-1000
Practice Address - Fax:817-547-1049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23915333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4533899OtherNCPDP
TX23915OtherSTATE PHARMACY LICENSE NU
TX23915OtherSTATE PHARMACY LICENSE NU