NPIMap

Organization Active NPI

PRXP of Ca LLC

  • Pharmacy
  • Ontario, CA
National Provider Identifier
1104665173
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
PRXP OF CA LLC
Practice address
4345 E Lowell St Ste C&D
Ontario, CA 91761-2222
Phone
(888) 505-1485
Fax
(888) 505-1485
NPI assigned
May 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Chris Wakefield
Title
Manager
Phone
(412) 477-7803

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

4345 E Lowell St Ste C&D
Ontario, CA 91761-2222

Mailing address

1193 Beechwood Blvd
Pittsburgh, PA 15206-4545
Phone (412) 477-7803

National Provider Directory

National Provider Directory
Tax ID family
PRXP of Ca LLC2 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.

Locations

4345 E Lowell St
Ste Cd
Ontario, CA 91761
Phone (888) 505-1485

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1104665173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1193 BEECHWOOD BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064545",
            "telephone_number": "412-477-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 E LOWELL ST STE C&D",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917612222",
            "telephone_number": "888-505-1485",
            "fax_number": "888-505-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRXP OF CA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "412-477-7803"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.