Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive Pharmacy Inc

Organization Pharmacy · NPI 1558610527

Revive Pharmacy Inc is a Pharmacy in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16205 S Tamiami Trl Ste # 6
Fort Myers, FL 33908-5304
Phone: (239) 204-4223
Fax: (239) 204-4224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PH26342 (FL)
Pharmacy Taxonomy 333600000X

Record details

NPI number1558610527
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Deforte — Owner · (239) 204-4223
Other names Revive Pharmacy
NPI enumeratedSeptember 5, 2012
Last updated in NPPESFebruary 26, 2016
Mailing address16205 S Tamiami Trl, Suite # 6, Fort Myers, FL 33908-5304

Other providers in Fort Myers