Organization Active NPI

Zion Capital Investment, Inc

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1245459239
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY48265 Issued in CA
Legal business name
ZION CAPITAL INVESTMENT, INC
Practice address
3900 W 3Rd St
Los Angeles, CA 90020-2675
Phone
(213) 382-6485
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Jamie ParkNPI 1215472774
Title
Phrmacist
Phone
(213) 382-4433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY48265 CA Primary

Addresses

Primary practice location

3900 W 3Rd St
Los Angeles, CA 90020-2675

Mailing address

3900 W 3Rd St
Los Angeles, CA 90020-2675
Phone (213) 382-6485

Other identifiers 2

IdentifierTypeStateIssuer
PHA327820MedicaidCA
0566161OtherOTHER ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930036822 CA DME Supplier - Pharmacy 2264638618 Practice locations: Los Angeles, CA
O20151214002596 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2264638618 Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Zion Capital Investment Inc3900 W 3Rd St, Los Angeles, CA 90020-2675(213) 382-6485 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|O… Does not accept assignmentParticipating since Oct 1, 2007

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1245459239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900202675",
            "telephone_number": "213-382-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900202675",
            "telephone_number": "213-382-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZION CAPITAL INVESTMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PHRMACIST",
        "authorized_official_telephone_number": "213-382-4433"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA327820",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0566161",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.