NPIMap

Organization Active NPI

CCRX Inc

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1114217239
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY56149 Issued in CA
Legal business name
CCRX INC
Practice address
1919 W 7TH St Unit M
Los Angeles, CA 90057
Phone
(213) 674-7577
Fax
(213) 674-7799
NPI assigned
Apr 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Authorized official

Name
Mr. Soheil Zafarmehr, PHARM DNPI 1174931455
Title
President/Pharmacist in Charge
Phone
(213) 674-7577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY56149 CA Primary

Addresses

Primary practice location

1919 W 7TH St Unit M
Los Angeles, CA 90057

Mailing address

1919 W 7TH St Unit M
Los Angeles, CA 90057-4103
Phone (213) 674-7577

Other identifiers 3

IdentifierTypeStateIssuer
56-40710OtherCANCPDP PROVIDER NUMBER
56149OtherCASTATE BOARD OF PHARMACY PERMIT
1114217239MedicaidCA

Other names 1

  • CCRX Doing business as

National Provider Directory

National Provider Directory

Locations

1919 W 7th St
Unit M
Los Angeles, CA 90057
Phone (213) 674-7577

Practitioners & affiliated clinicians

Practitioners 1

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": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1114217239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 W 7TH ST UNIT M",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574103",
            "telephone_number": "213-674-7577",
            "fax_number": "213-674-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 W 7TH ST UNIT M",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "213-674-7577",
            "fax_number": "213-674-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCRX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "ZAFARMEHR",
        "authorized_official_first_name": "SOHEIL",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "213-674-7577",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY56149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER NUMBER",
            "identifier": "56-40710",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY PERMIT",
            "identifier": "56149",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114217239",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCRX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CCRX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.