Provider Demographics
NPI:1184750242
Name:RX02 INC.
Entity type:Organization
Organization Name:RX02 INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DARRELL
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:BINGHAM
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:513-931-2700
Mailing Address - Street 1:1587 KINNEY AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-3411
Mailing Address - Country:US
Mailing Address - Phone:513-931-2700
Mailing Address - Fax:513-931-3230
Practice Address - Street 1:1587 KINNEY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-3411
Practice Address - Country:US
Practice Address - Phone:513-931-2700
Practice Address - Fax:513-931-3230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHHMEL-11211332BX2000X
OH332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0917324Medicaid