Organization Active NPI

Boyle Heights RX Inc

  • Long Term Care Pharmacy
  • Los Angeles, CA
National Provider Identifier
1124287024
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY49279 Issued in CA
Legal business name
BOYLE HEIGHTS RX INC
Practice address
1611 E Cesar E Chavez Ave
Los Angeles, CA 90033-2411
Phone
(323) 222-0736
Fax
(323) 222-1209
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Judith S Francisco
Title
President
Phone
(951) 378-6444

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY49279 CA
Community/Retail Pharmacy 3336C0003X PHY 49279 CA
Long Term Care Pharmacy 3336L0003X PHY49279 CA Primary

Addresses

Primary practice location

1611 E Cesar E Chavez Ave
Los Angeles, CA 90033-2411

Mailing address

1611 E Cesar E Chavez Ave
Los Angeles, CA 90033-2411
Phone (323) 222-0736

Other identifiers 3

IdentifierTypeStateIssuer
05-35267OtherCANCPDP NUMBER
CB276893MedicaidCA
PHA402710/1407057474MedicaidCA

National Provider Directory

National Provider Directory

Locations

1611 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 222-0736

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": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1124287024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332411",
            "telephone_number": "323-222-0736",
            "fax_number": "323-222-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332411",
            "telephone_number": "323-222-0736",
            "fax_number": "323-222-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYLE HEIGHTS RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2023-03-07",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "FRANCISCO",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-378-6444"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY49279",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 49279",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY49279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "05-35267",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB276893",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA402710/1407057474",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 2023; 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.