Active NPI
Boyle Heights RX Inc
- Long Term Care Pharmacy
- Los Angeles, CA
National Provider Identifier
1124287024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PHY49279
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05-35267 | Other | CA | NCPDP NUMBER |
| CB276893 | Medicaid | CA | |
| PHA402710/1407057474 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Los Angeles, CA
- NPI 1023522810
-
- Pharmacist
- Los Angeles, CA
- NPI 1093369399
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.