Active NPI
Alixa RX LLC
Doing business as AlixaRx
- Long Term Care Pharmacy
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- ALIXA RX LLC
- Doing business as
- AlixaRx
- Practice address
- 4727 W Shaw Ave
Fresno, CA 93722-6209 - Phone
- (559) 277-4100
- NPI assigned
- Dec 19, 2013
- Last updated
- Nov 20, 2023
- Organization subpart
- Yes
- Parent organization
- MARINA PHARMACY CORP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Shamalov
- Title
- Managing Member
- Phone
- (631) 321-3850
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
4727 W Shaw Ave
Fresno, CA 93722-6209
Mailing address
7160 Dallas Pkwy
Suite 400
Plano, TX 75024-7145
Phone (972) 372-6300
Other names 1
- AlixaRx
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210331001356 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 0345474102 | Practice locations: Fresno, CA; Fowler, CA; Fairfield, CA; El Sobrante, CA; Clovis, CA; Cloverdale, CA; Chico, CA; Castro Valley, CA… |
| O20240409002624 | CA | DME Supplier - Pharmacy | 0345474102 | Practice locations: Fresno, CA |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba AlixaRx - IN Hub
- Long Term Care Pharmacy
- Indianapolis, IN
- NPI 1881969921
0345474102
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Alixa RX - Fresno | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Alixa RX LLC
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Omaha, NE
- NPI 1396174892
Locations
4727 W Shaw Ave
Fresno, CA 93722
Phone (559) 227-4100
4727 W Shaw Ave
Ste 400
Fresno, CA 93722
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Woodbury, NY
- NPI 1114162799
-
- Pharmacist
- Fresno, CA
- NPI 1275341364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700438400000",
"number": "1033530977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7160 DALLAS PKWY",
"address_2": "SUITE 400",
"city": "PLANO",
"state": "TX",
"postal_code": "750247145",
"telephone_number": "972-372-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4727 W SHAW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937226209",
"telephone_number": "559-277-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALIXA RX LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARINA PHARMACY CORP",
"enumeration_date": "2013-12-19",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A",
"authorized_official_last_name": "SHAMALOV",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "631-321-3850"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AlixaRx",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AlixaRx",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.