RX Biotech Pharmacy LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

RX BIOTECH PHARMACY LLC

Doing business as

Meijer Specialty Pharmacy

Practice address

2514 N Ontario St Ste 102
Burbank, CA 91504-2512

Phone

(310) 657-2212

Fax

(310) 657-0906

NPI assigned

Jun 18, 2009

Organization subpart

No

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

Authorized official

Name

Jason Beauch

Title

Vice President, Pharmacy

Phone

(616) 791-3346

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Meijer Specialty Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Innova RX Inc.

  dba Cedarmak Pharmacy

  • Community/Retail Pharmacy
  • West Hollywood, CA
  • NPI 1477054567

  O20130401000256

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Meijer Stores Limited Partnership

  dba Meijer Pharmacy #150

  • Community/Retail Pharmacy
  • Loveland, OH
  • NPI 1366591943

  Member Of

  NPD member

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond Frank Burzynski, PHARMD

  • Pharmacist
  • Matthews, NC
  • NPI 1982959417
  NPD
• Eleni Christina Morgan, RPH

  • Pharmacist
  • Okemos, MI
  • NPI 1215153978
  NPD
• Ian J Nagy, PHARM.D.

  • Pharmacist
  • Grand Rapids, MI
  • NPI 1306275649
  NPD
• Emily Hsu, PHARMD

  • Pharmacist
  • Burbank, CA
  • NPI 1245765197
  NPD (past)

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1144457078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 WALKER AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495446402",
            "telephone_number": "616-791-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 N ONTARIO ST STE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042512",
            "telephone_number": "310-657-2212",
            "fax_number": "310-657-0906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W Verdugo Ave",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915022469",
            "country_code": "US",
            "telephone_number": "800-657-2212",
            "fax_number": "310-657-0906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RX BIOTECH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "BEAUCH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "VICE PRESIDENT, PHARMACY",
        "authorized_official_telephone_number": "616-791-3346"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "53842",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151383",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meijer Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose Luis Ruiz, DDS
• Samuel Ruiz
• Janelle Rule
• Kelli Rust
• Krista Rutzen
• RX Central Care Pharmacy Inc (AMC Burbank Pharmacy)
• RX Central Care Pharmacy Inc (AMC Burbank Pharmacy)
• Jessica Ryder
• Bryn Rydia
• Ryu Acupuncture Clinic, Inc.

• Specialty Pharmacy in Burbank, CA
• Providers in Burbank, CA by specialty
• Specialty Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.