Active NPI
Zion Capital Investment, Inc
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1245459239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY48265
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie Park
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA327820 | Medicaid | CA | |
| 0566161 | Other | OTHER ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Zion Capital Investment Inc | 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 assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Los Angeles, CA
- NPI 1215472774
-
- Pulmonary Disease Physician
- Monterey Park, CA
- NPI 1336167899
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1134218555
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.