PRAETORIAN RX LLC
NPI 1699040055
Clinic/Center in Tampa, FL

Active since March 19, 2012
20429 AUTUMN FERN AVE, TAMPA, FL 33647(186) 623-2877 Get Directions Write a Review

NPPES record last updated: March 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Praetorian Rx Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAETORIAN RX LLC (NPI 1699040055) is a healthcare organization registered as a clinic/center in Tampa, Florida and active in the NPI registry since March 2012. The organization lists Kenneth Dewayne Lanier, President, as its authorized official.

NPPES Registry Identity

NPI1699040055
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePRAETORIAN RX LLC
Location Address20429 AUTUMN FERN AVETampa, FL 33647-2967
Mailing Address20429 Autumn Fern AveTampa, FL 33647-2967 · (186) 623-2877
Organization SubpartNo
Authorized OfficialKenneth Dewayne LanierPresident · (813) 929-0778
Enumeration DateMarch 19, 2012
NPI 1699040055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
20429 AUTUMN FERN AVE, Tampa, FL 33647

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
20429 AUTUMN FERN AVE
TAMPA, FL 33647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Praetorian Rx LLC's NPI number?

The NPI number for Praetorian Rx LLC is 1699040055. It was assigned to this organization in the NPPES registry on March 19, 2012.

Where is Praetorian Rx LLC located?

Praetorian Rx LLC is located at 20429 Autumn Fern Ave, Tampa, FL 33647. The listed phone number is (186) 623-2877.

What is Praetorian Rx LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Praetorian Rx LLC was last updated on March 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.