NPIMap

Organization Active NPI

Curerx Compounding Pharmacy Inc

  • Community/Retail Pharmacy
  • Reseda, CA
National Provider Identifier
1134537236
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 53473 Issued in CA
Legal business name
CURERX COMPOUNDING PHARMACY INC
Practice address
18625 Sherman Way
Suite 107
Reseda, CA 91335-4148
Phone
(818) 881-2998
Fax
(818) 881-2996
NPI assigned
Aug 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Mr. Philip Ettedgui, PHARM.D.
Title
President/Pic
Phone
(818) 881-2998

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY 53473 CA Primary
Compounding Pharmacy 3336C0004X PHY 53473 CA

Addresses

Primary practice location

18625 Sherman Way
Suite 107
Reseda, CA 91335-4148

Mailing address

5060 W Sunset Blvd
Los Angeles, CA 90027-5840
Phone (323) 667-1111

Other identifiers 2

IdentifierTypeStateIssuer
5652424OtherCANCPDP PROVIDER ID
PHY 53473OtherCASTATE BOARD OF PHARMACY

Other names 1

  • CURERX Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Curerx3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5060 W Sunset Blvd
Los Angeles, CA 90027

18625 Sherman Way
Ste 107
Reseda, CA 91335
Phone (818) 881-2998

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1134537236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275840",
            "telephone_number": "323-667-1111",
            "fax_number": "323-667-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18625 SHERMAN WAY",
            "address_2": "SUITE 107",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354148",
            "telephone_number": "818-881-2998",
            "fax_number": "818-881-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURERX COMPOUNDING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "ETTEDGUI",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "818-881-2998",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 53473",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHY 53473",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER ID",
            "identifier": "5652424",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "PHY 53473",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CURERX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.