Provider Demographics
NPI:1942773734
Name:NOWRX INC
Entity type:Organization
Organization Name:NOWRX INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-777-7435
Mailing Address - Street 1:30025 ALICIA PARKWAY, SUITE 674
Mailing Address - Street 2:ATTENTION: COMPLIANCE
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92677-0000
Mailing Address - Country:US
Mailing Address - Phone:949-449-2700
Mailing Address - Fax:949-606-9212
Practice Address - Street 1:1310 TULLY RD STE 101
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-3054
Practice Address - Country:US
Practice Address - Phone:408-882-3558
Practice Address - Fax:408-645-5039
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NOWRX INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-04
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA100208048Medicaid