Provider Demographics
NPI:1184991085
Name:FAMILY CARE RX LLC
Entity type:Organization
Organization Name:FAMILY CARE RX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-657-1030
Mailing Address - Street 1:6428 MELALEUCA LN STE A
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3807
Mailing Address - Country:US
Mailing Address - Phone:561-432-2273
Mailing Address - Fax:561-429-8115
Practice Address - Street 1:6428 MELALEUCA LN STE A
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3807
Practice Address - Country:US
Practice Address - Phone:561-432-2273
Practice Address - Fax:561-318-8577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-19
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X, 3336L0003X
FLPH259013336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2133994OtherPK
FL004883900Medicaid
6686350001Medicare NSC