Active NPI
Curerx Pharmacy Inc
- Community/Retail Pharmacy
- Reseda, CA
National Provider Identifier
1265897953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 53473
- Legal business name
- CURERX PHARMACY INC
- Practice address
- 18625 Sherman Way Ste 107
Reseda, CA 91335-4187 - Phone
- (818) 881-2998
- Fax
- (818) 881-2996
- NPI assigned
- Dec 22, 2015
- 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
- Mr. Philip Aaron Ettedgui, PHARM D
- Title
- Ceo and Pharmacist in Charge
- Phone
- (818) 259-5375
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 30520 | FL | |
| Community/Retail Pharmacy | 3336C0003X | 53473 | CA | Primary |
Addresses
Primary practice location
18625 Sherman Way Ste 107
Reseda, CA 91335-4187
Mailing address
5060 W Sunset Blvd Ste C
Los Angeles, CA 90027-5872
Phone (323) 667-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2155571 | Other | PK |
Other names 2
- CureRx
- CURERX COMPOUNDING PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Curerx
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Reseda, CA
- NPI 1134537236
-
- Community/Retail Pharmacy
- Los Angeles, CA
- NPI 1861731374
Locations
5060 W Sunset Blvd
Ste C
Los Angeles, CA 90027
Phone (323) 667-1111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666656000000",
"number": "1265897953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5060 W SUNSET BLVD STE C",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275872",
"telephone_number": "323-667-1111",
"fax_number": "323-667-1131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18625 SHERMAN WAY STE 107",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354187",
"telephone_number": "818-881-2998",
"fax_number": "818-881-2996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CURERX PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-22",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A",
"authorized_official_last_name": "ETTEDGUI",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "AARON",
"authorized_official_title_or_position": "CEO AND PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "818-259-5375",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": "30520",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "53473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2155571",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CureRx",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CURERX COMPOUNDING PHARMACY",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.