Organization Active NPI

Medrx Inc

Doing business as Medrx Pharmacy

  • Long Term Care Pharmacy
  • Tarzana, CA
National Provider Identifier
1295812162
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY 49209 Issued in CA
Legal business name
MEDRX INC
Doing business as
Medrx Pharmacy
Practice address
18356 Oxnard St
Ste 1
Tarzana, CA 91356-1555
Phone
(818) 343-3443
Fax
(818) 343-0933
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Mr. Dmitry Naygas
Title
Manager/Secretary
Phone
(818) 343-3443

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X PHY 49209 CA Primary

Addresses

Primary practice location

18356 Oxnard St
Ste 1
Tarzana, CA 91356-1555

Mailing address

18356 Oxnard St
Ste 1
Tarzana, CA 91356-1555
Phone (818) 343-3443

Other identifiers 3

IdentifierTypeStateIssuer
5616416OtherOTHER ID NUMBER-COMMERCIAL NUMBER
5616416OtherOTHER ID NUMBER
PHA 471890MedicaidCA

Other names 1

  • MEDRX PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

18356 Oxnard St
Ste 1
Tarzana, CA 91356
Phone (818) 343-3443

Practitioners & affiliated clinicians

Practitioners 10

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": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1295812162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18356 OXNARD ST",
            "address_2": "STE 1",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561555",
            "telephone_number": "818-343-3443",
            "fax_number": "818-343-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18356 OXNARD ST",
            "address_2": "STE 1",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561555",
            "telephone_number": "818-343-3443",
            "fax_number": "818-343-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDRX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "NAYGAS",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "MANAGER/SECRETARY",
        "authorized_official_telephone_number": "818-343-3443",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY 49209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5616416",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5616416",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA 471890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDRX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.