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Rural Health Care, Incorporated

Community/Retail Pharmacy in Hawthorne, FL · enumerated 2008 · authorized official Larry Pederson, Vp/Cpo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528204419

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Registry record

Entity type Organization (Type 2)
Legal business name Rural Health Care, Incorporated
Other name <Unavail>
Practice address 22066 Se 71st Ave, Hawthorne, FL, 32640
Phone (352) 481-5640
Fax (352) 481-5641
Enumeration date Dec 23, 2008
Last updated in NPPES Mar 7, 2023

Taxonomy & classification

333600000X Pharmacy Suppliers · License PH23758 (FL) Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PH0023758 (FL) Primary
3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Larry Pederson
Title Vp/Cpo
Phone (386) 328-0558

Other identifiers

Identifier Type State Issuer
935 Other - NCPDP CHAIN CODE
1041071 Other - NCPDP
000602300 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-03-07. Verify at npiregistry.cms.hhs.gov.
Where is Rural Health Care, Incorporated located?
The practice location on file with NPPES is in Hawthorne, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.