Organization Active NPI

Sierra RX Inc

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1265422406
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY32680 Issued in CA
Legal business name
SIERRA RX INC
Doing business as
Sierra Pharmacy
Practice address
2708 S Figueroa St
Los Angeles, CA 90007-3255
Phone
(213) 746-1828
Fax
(213) 746-4137
NPI assigned
Oct 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Don S Greene, PHARM D
Title
Owner Pharmacist in Charge
Phone
(213) 746-1828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PHY32680 CA Primary

Addresses

Primary practice location

2708 S Figueroa St
Los Angeles, CA 90007-3255

Mailing address

2708 S Figueroa St
Los Angeles, CA 90007-3255
Phone (213) 746-1828

Other identifiers 2

IdentifierTypeStateIssuer
PHA326800MedicaidCA
0578700OtherNABP

Other names 1

  • Sierra Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2708 S Figueroa St
Los Angeles, CA 90007
Phone (213) 746-1828

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265422406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 S FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073255",
            "telephone_number": "213-746-1828",
            "fax_number": "213-746-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 S FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073255",
            "telephone_number": "213-746-1828",
            "fax_number": "213-746-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "213-746-1828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY32680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA326800",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0578700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.