Medaccess Rx LLC
NPI 1972357192ActiveOrganization· Preferred Provider Organization· Saint Petersburg, FL
Preferred Provider Organization in Saint Petersburg, Florida, registered in NPPES in April 2024, part of Medaccess Rx LLC. The authorized official on file is Charles Robert Butler, FACHM, Exec Dir.
Overview
| NPI | 1972357192 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Medaccess Rx LLC |
| NPI issued | Apr 15, 2024 |
| Last updated in NPPES | Apr 15, 2024 |
| Certified by provider | Mar 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | — | — |
| Case Management | 251B00000X | — | — |
| Prevention Professional | 405300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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