Simi Valley LTC LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SIMI VALLEY LTC LLC

Practice address

888 E Easy St Ste C
Simi Valley, CA 93065-1812

Phone

(805) 285-2849

NPI assigned

Mar 7, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Rajya Lakshmi Meka

Title

Managing Member

Phone

(818) 640-1190

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Steve Kim, PHARM. D.

  • Pharmacist
  • Northridge, CA
  • NPI 1780916924
  NPD
• Rajya Lakshmi Meka, RPH

  • Pharmacist
  • Sunland, CA
  • NPI 1487960902
  NPD

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1235839374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 E EASY ST STE C",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651812",
            "telephone_number": "805-285-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 E EASY ST STE C",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651812",
            "telephone_number": "805-285-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMI VALLEY LTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "MEKA",
        "authorized_official_first_name": "RAJYA",
        "authorized_official_middle_name": "LAKSHMI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "818-640-1190",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "58912",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simi Valley Hospital
• Simi Valley Hospital & Health Care Services
• Simi Valley Hospital and Health Care Services
• Simi Valley Hospital and Health Care Services
• Simi Valley Hospital Pharmacy
• Simi Valley Medical Imaging, LLC
• Simi Valley Midwifery
• Simi Valley Mtu
• Simi Valley Recovery, LLC
• Simi Valley Regional Urgent Care

• Long Term Care Pharmacy in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.