Active NPI
Ideal RX LLC
- Community/Retail Pharmacy
- Huntington Park, CA
National Provider Identifier
1114378619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- IDEAL RX LLC
- Practice address
- 6216 Seville Ave
Huntington Park, CA 90255-2913 - Phone
- (310) 860-9809
- Fax
- (310) 860-9683
- NPI assigned
- Jun 26, 2016
- 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
- Soheil Zafarmehr, PHARM D
- Title
- Managing Member
- Phone
- (310) 860-9809
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
6216 Seville Ave
Huntington Park, CA 90255-2913
Mailing address
6216 Seville Ave
Huntington Park, CA 90255-2913
Phone (310) 860-9809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY58832 | Other | CA | BOARD OF PHARMACY |
Other names 1
- SEVILLE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210407002263 | CA | Part B Supplier - Pharmacy | 1759662430 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider DirectoryLocations
6216 Seville Ave
Huntington Park, CA 90255
Phone (310) 860-9809
8614 W 3rd St
Los Angeles, CA 90048
Phone (310) 858-7111
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Van Nuys, CA
- NPI 1174931455
-
- Pharmacist
- Los Angeles, CA
- NPI 1275130312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677196800000",
"number": "1114378619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6216 SEVILLE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902552913",
"telephone_number": "310-860-9809",
"fax_number": "310-860-9683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6216 SEVILLE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902552913",
"telephone_number": "310-860-9809",
"fax_number": "310-860-9683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDEAL RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-26",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A",
"authorized_official_last_name": "ZAFARMEHR",
"authorized_official_first_name": "SOHEIL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "310-860-9809",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "PHY58832",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SEVILLE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.