NPIMap

Organization Active NPI

RX Consultants Group Inc

  • Community/Retail Pharmacy
  • South Gate, CA
National Provider Identifier
1053748772
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
53598 Issued in CA
Legal business name
RX CONSULTANTS GROUP INC
Practice address
8116 California Ave Ste a
South Gate, CA 90280-2400
Phone
(323) 206-4177
Fax
(323) 286-4199
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Jean Ly
Title
President
Phone
(714) 309-2068

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 53598 CA Primary

Addresses

Primary practice location

8116 California Ave Ste a
South Gate, CA 90280-2400

Mailing address

8116 California Ave Ste a
South Gate, CA 90280-2400
Phone (323) 206-4177

Other identifiers 2

IdentifierTypeStateIssuer
2142256OtherPK
1053748772MedicaidCA

Other names 1

  • MERCY SOUTH GATE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120615000072 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1052517521 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Artesia, CA; Santa Ana, CA; South Gate, CA
O20141024000545 CA DME Supplier - Pharmacy 1052517521 Practice locations: South Gate, CA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Mercy South Gate Pharmacy8116 California Ave, South Gate, CA 90280-2400(323) 206-4177 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Oct 4, 2007

National Provider Directory

National Provider Directory
Tax ID family
Mercy Pharmacy Long Beach8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

11515 Artesia Blvd
Artesia, CA 90701
Phone (562) 402-1000

8116 California Ave
Ste A
South Gate, CA 90280
Phone (323) 206-4177

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1053748772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 CALIFORNIA AVE STE A",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802400",
            "telephone_number": "323-206-4177",
            "fax_number": "323-286-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 CALIFORNIA AVE STE A",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802400",
            "telephone_number": "323-206-4177",
            "fax_number": "323-286-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX CONSULTANTS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-309-2068"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "53598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142256",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053748772",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY SOUTH GATE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MERCY SOUTH GATE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Gate, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.

Verify at the official NPI Registry.