Intra RX Drugs

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY 15308 Issued in CA

Legal business name

INTRA RX DRUGS

Practice address

809 E Rosecrans Ave
East Rancho Dominguez, CA 90221-2145

Phone

(310) 537-4431

Fax

(310) 537-8592

NPI assigned

Jul 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Bianca Marie Banks

Title

Ceo/Owner

Phone

(310) 537-4431

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1255331716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 E ROSECRANS AVE",
            "city": "EAST RANCHO DOMINGUEZ",
            "state": "CA",
            "postal_code": "902212145",
            "telephone_number": "310-537-4431",
            "fax_number": "310-537-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 E ROSECRANS AVE",
            "city": "EAST RANCHO DOMINGUEZ",
            "state": "CA",
            "postal_code": "902212145",
            "telephone_number": "310-537-4431",
            "fax_number": "310-537-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRA RX DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "310-537-4431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 15308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA153080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Delallana, MSN, APRN, FNP
• Bradlisia Dixon
• Gerardo Espitia
• Larrisa Breanne Gonzales
• Meliza Guillermo Alonzo
• Nathan D Lai
• Eula Patrice McCarver-Johnson
• Kathryn Ivy Olson, PT, DPT
• Planned Parenthood Los Angeles Compton Center
• Andrei Sabio

• Pharmacy in East Rancho Dominguez, CA
• Providers in East Rancho Dominguez, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.