Provider Demographics
NPI:1649555749
Name:RX DIRECT, INC.
Entity type:Organization
Organization Name:RX DIRECT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:KYMELA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:866-839-2035
Mailing Address - Street 1:8427 SOUTHPARK CIR STE 400
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-9057
Mailing Address - Country:US
Mailing Address - Phone:800-511-5144
Mailing Address - Fax:877-541-1503
Practice Address - Street 1:1311 W SAM HOUSTON PKWY N STE 140
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-4015
Practice Address - Country:US
Practice Address - Phone:866-839-2035
Practice Address - Fax:866-827-4962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145474Medicaid
TX16088OtherTEXAS STATE BOARD OF PHARMACY
TX16088OtherTEXAS STATE BOARD OF PHARMACY