Revive Pharmacy Inc
NPI 1558610527 · Community/Retail Pharmacy · Fort Myers, FL
Enrolled with Medicare as Part B Supplier - Other · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Pharmacy Inc is a Community/Retail Pharmacy organization in Fort Myers, FL (NPI 1558610527).
Provider details
- NPI number
- 1558610527
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Nicole Deforte, Owner(239) 204-4223
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Revive Pharmacy
Registry dates
- Enumerated
- 2012-09-05
- Last updated
- 2016-02-26
Frequently asked questions
- What is Revive Pharmacy Inc's NPI number?
- Revive Pharmacy Inc's National Provider Identifier (NPI) is 1558610527, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Pharmacy Inc?
- Revive Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Revive Pharmacy Inc located?
- Revive Pharmacy Inc's practice location on file with NPPES is 16205 S Tamiami Trl, Fort Myers, FL 33908-5304.
- What is Revive Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Revive Pharmacy Inc is (239) 204-4223.
- Does Revive Pharmacy Inc accept Medicare?
- Revive Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revive Pharmacy Inc?
- The authorized official listed on Revive Pharmacy Inc's NPPES record is Nicole Deforte, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Pharmacy Inc's NPI active?
- Yes — Revive Pharmacy Inc's NPI (1558610527) is active in the NPPES registry as of the last update on 2016-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.