Beverly Plaza RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

53865 Issued in CA

Legal business name

BEVERLY PLAZA RX INC

Practice address

101 E Beverly Blvd Ste 101
Montebello, CA 90640-4314

Phone

(323) 725-7155

Fax

(323) 725-7766

NPI assigned

Aug 16, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mais Melikian

Title

President/Ceo/Cfo/Secretary/Directo

Phone

(323) 725-7155

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BEVERLY PLAZA RX INC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Beverly Plaza RX Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Beverly Plaza RX Inc

  • Long Term Care Pharmacy
  • Montebello, CA
  • NPI 1336976760
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1043202146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD STE 101",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404314",
            "telephone_number": "323-725-7155",
            "fax_number": "323-725-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD STE 101",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404314",
            "telephone_number": "323-725-7155",
            "fax_number": "323-725-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY PLAZA RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2023-03-07",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "MELIKIAN",
        "authorized_official_first_name": "MAIS",
        "authorized_official_title_or_position": "PRESIDENT/CEO/CFO/SECRETARY/DIRECTO",
        "authorized_official_telephone_number": "323-725-7155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "53865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0508335",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEVERLY PLAZA RX INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beverly Internal Medicine Medical Group Inc.
• Beverly Oncology & Imaging Center Medical GR
• Beverly Orthopedic Laboratory Inc
• Beverly Orthopedic Physical Therapy Center Inc.
• Beverly Pediatric Medical Group, Inc.
• Beverly Plaza RX Inc
• Beverly Professional Pharmacy
• Beverly Urgent Care Inc
• Beverlycare
• Beverlycare

• Community/Retail Pharmacy in Montebello, CA
• Providers in Montebello, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.