Organization Active NPI

Ideal RX LLC

  • Community/Retail Pharmacy
  • Huntington Park, CA
National Provider Identifier
1114378619
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Soheil Zafarmehr, PHARM DNPI 1174931455
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHY58832OtherCABOARD OF PHARMACY

Other names 1

  • SEVILLE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210407002263 CA Part B Supplier - Pharmacy 1759662430 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.