Active NPI
Los Angeles Drugs
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1093875577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY43829
- Legal business name
- LOS ANGELES DRUGS
- Practice address
- 3030 W Olympic Blvd
Suite 118
Los Angeles, CA 90006-6501 - Phone
- (213) 387-3030
- Fax
- (213) 739-2020
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Im
- Title
- Owner
- Phone
- (213) 387-3030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY43829 | CA | Primary |
Addresses
Primary practice location
3030 W Olympic Blvd
Suite 118
Los Angeles, CA 90006-6501
Mailing address
3030 West Olympic Blvd
Suite 118
Los Angeles, CA 90006
Phone (213) 387-3030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA438290 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Los Angeles, CA
- NPI 1932660107
-
- Pharmacist
- Los Angeles, CA
- NPI 1316498249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093875577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 WEST OLYMPIC BLVD",
"address_2": "SUITE 118",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90006",
"telephone_number": "213-387-3030",
"fax_number": "213-739-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 W OLYMPIC BLVD",
"address_2": "SUITE 118",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900066501",
"telephone_number": "213-387-3030",
"fax_number": "213-739-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOS ANGELES DRUGS",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "IM",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "213-387-3030"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY43829",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA438290",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Los Angeles Doctors Clinic
- Los Angeles Doctors Corp (Los Angeles Metropolitan Medical Center)
- Los Angeles Doctors Corp (Los Angeles Metropolitan Medical Center)
- Los Angeles Doctors Corp (los angeles metropolitan medical center)
- Los Angeles Doctors Corp (Los Angeles Metropolitan Medical Center)
- Los Angeles Ear, Nose & Throat Associates
- Los Angeles Ear, Nose & Throat Associates
- Los Angeles Endoscopy Center (Los Angeles Ambulatory Surgery Center)
- Los Angeles ENT Surgical Associates
- Los Angeles Family Medical Services Inc (Los Angeles Family MedicalClinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.