Olive Branch Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

OLIVE BRANCH PHARMACY INC

Practice address

1929 S San Pedro St
Los Angeles, CA 90011-1121

Phone

(213) 677-1230

Fax

(213) 677-1227

NPI assigned

Mar 21, 2025

Organization subpart

Yes

Parent organization

OLIVE BRANCH PHARMACYAs reported in NPPES

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

Authorized official

Name

Redda Alhoussayni, PHARM.D.

Title

Pharmacist in Charge

Phone

(213) 677-1230

Specialties & licenses 1

Addresses

Other names 1

• Olive Branch Pharmacy 3 Doing business as

Tax ID family

Olive Branch Pharmacy3 organizations share this tax ID, including this one

Part of

Olive Branch Pharmacy

Other organizations with this tax ID 2

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

• Olive Branch Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1174997605
  NPD tax ID
• Olive Branch Pharmacy

  • Pharmacy
  • Los Angeles, CA
  • NPI 1255643995
  NPD tax ID

Locations

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1194526558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111121",
            "telephone_number": "213-677-1230",
            "fax_number": "213-677-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111121",
            "telephone_number": "213-677-1230",
            "fax_number": "213-677-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLIVE BRANCH PHARMACY",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "ALHOUSSAYNI",
        "authorized_official_first_name": "REDDA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "213-677-1230",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olive Branch Pharmacy 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn Olivas, PROBATION OFFICER
• Ruben Raymundo Olivas
• Olive Branch Family Therapy
• Olive Branch Pharmacy
• Olive Branch Pharmacy
• Olive Dynasty Hospice Care, Inc.
• Olive Hill Pharmacy, Inc.
• Olive Medical Center, Inc
• Olive Tree Oriental Medicine, Inc.
• Alex J. Oliveira-Kowaleski, MD

• Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.