Organization Active NPI

Elong Pharmacy LLC

  • Community/Retail Pharmacy
  • Irvine, CA
National Provider Identifier
1275042459
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
55621 Issued in CA
Legal business name
ELONG PHARMACY LLC
Practice address
15415 Jeffrey Rd Ste 108
Irvine, CA 92618-4103
Phone
(949) 988-3998
Fax
(949) 988-3996
NPI assigned
Sep 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Rui CuiNPI 1528358868
Title
Ceo/Pic
Phone
(949) 988-3998

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 55621 CA Primary

Addresses

Primary practice location

15415 Jeffrey Rd Ste 108
Irvine, CA 92618-4103

Mailing address

15415 Jeffrey Rd Ste 108
Irvine, CA 92618-4103
Phone (949) 988-3998

Other identifiers 1

IdentifierTypeStateIssuer
55621OtherCARETAIL PHARMACY LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275042459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15415 JEFFREY RD STE 108",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184103",
            "telephone_number": "949-988-3998",
            "fax_number": "949-988-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15415 JEFFREY RD STE 108",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184103",
            "telephone_number": "949-988-3998",
            "fax_number": "949-988-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELONG PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CUI",
        "authorized_official_first_name": "RUI",
        "authorized_official_title_or_position": "CEO/PIC",
        "authorized_official_telephone_number": "949-988-3998",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "55621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETAIL PHARMACY LICENSE",
            "identifier": "55621",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.