Organization Active NPI

Molina RX Pharmacy, Inc

  • Community/Retail Pharmacy
  • Downey, CA
National Provider Identifier
1124422860
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY53327 Issued in CA
Legal business name
MOLINA RX PHARMACY, INC
Practice address
12101 Woodruff Ave
Suite C
Downey, CA 90241-5628
Phone
(562) 803-1312
Fax
(562) 803-4687
NPI assigned
Oct 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Alfredo Molina
Title
President
Phone
(562) 716-2586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY53327 CA Primary

Addresses

Primary practice location

12101 Woodruff Ave
Suite C
Downey, CA 90241-5628

Mailing address

12101 Woodruff Ave
Suite C
Downey, CA 90241-5628
Phone (562) 803-1312

Other names 1

  • Mrx Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

12101 Woodruff Ave
Ste C
Downey, CA 90241
Phone (562) 803-1312

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1124422860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 WOODRUFF AVE",
            "address_2": "SUITE C",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415628",
            "telephone_number": "562-803-1312",
            "fax_number": "562-803-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 WOODRUFF AVE",
            "address_2": "SUITE C",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415628",
            "telephone_number": "562-803-1312",
            "fax_number": "562-803-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLINA RX PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-716-2586"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY53327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mrx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.