Dtla RX Pharmacy Apc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DTLA RX PHARMACY APC

Practice address

1120 S Grand Ave Ste 103
Los Angeles, CA 90015-4677

Phone

(213) 745-5000

Fax

(213) 745-5000

NPI assigned

Apr 14, 2020

Organization subpart

No

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

Authorized official

Name

Rahul Kumar

Title

Ceo/Sec/Cfo/President/Dir

Phone

(213) 745-5000

Specialties & licenses 1

Addresses

Other names 1

• SOUTH PARK PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1184243602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S GRAND AVE STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154677",
            "telephone_number": "213-745-5000",
            "fax_number": "213-745-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S GRAND AVE STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154677",
            "telephone_number": "213-745-5000",
            "fax_number": "213-745-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTLA RX PHARMACY APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "CEO/SEC/CFO/PRESIDENT/DIR",
        "authorized_official_telephone_number": "213-745-5000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH PARK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTH PARK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dtla Dental & Implant, a Prof. Dental Office Corp.
• Dtla Gynecology
• Dtla Home Health Agency
• Dtla Med
• Dtla Pain Surgery Center Inc
• Dtla Urgent Care Incorporated
• Ashley Du
• Austin Liu Du
• Janet L Du
• Jennifer H Du, PHARM.D.

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.