Revive Pharmacy is an authorized DME supplier for medicare equipments and products.
Revive Pharmacy is a Community/Retail Pharmacy in Fort Myers, Florida. This pharmacy is owned and operated by Revive Pharmacy Inc. It is located at 16205 S Tamiami Trl, Suite # 6, Fort Myers and it's customer support contact number is 239-204-4223. The authorized person of Revive Pharmacy is Nicole Deforte who is Owner of the pharmacy and his contact number is 239-204-4223. Active license number of Revive Pharmacy is PH26342 for Community/Retail Pharmacy in Florida. Revive Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Revive Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Revive Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Revive Pharmacy
Type:
Community/Retail Pharmacy
Location:
16205 S Tamiami Trl, Suite # 6, Fort Myers, Florida, 33908-5304
Phone:
239-204-4223
Fax:
239-204-4224
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Nicole Deforte
Position:
Owner
Contact Number:
239-204-4223
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1558610527
NPI Enumeration Date:
05 Sep, 2012
NPI Last Update On:
26 Feb, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Revive Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PH26342
Florida
Primary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2136822
Other
Pk
006790300
Medicaid
Florida
Medicare Enrollment:
Revive Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
7810124484
O20131206000487
Revive Pharmacy Inc
PART B SUPPLIER - OTHER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
16205 S Tamiami Trl, Suite # 6 Fort Myers, Florida
Zip:
33908-5304
Phone Number:
239-204-4223
Fax Number:
239-204-4224
Patients can reach Revive Pharmacy at 16205 S Tamiami Trl, Suite # 6, Fort Myers, Florida or can call on customer care at 239-204-4223.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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