Gen-RX-Drugs

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY39942 Issued in CA

Legal business name

GEN-RX-DRUGS

Doing business as

Genrx Drug

Practice address

16800 Lakeshore Dr Ste 1
Ste 1
Lake Elsinore, CA 92530-4909

Phone

(951) 674-6836

Fax

(951) 674-9973

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

John Rouzitalab, PHARMACY

Title

RPH

Phone

(951) 674-6836

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• GENRX DRUG Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmad Mashayekan, RPH

  • Pharmacist
  • La Jolla, CA
  • NPI 1295306512
  NPD
• Gholam H Rouzitalab, RPH

  • Pharmacist
  • Lake Elsinore, CA
  • NPI 1306359534
  NPD
• Lila Rouzitalab, RPH

  • Pharmacist
  • Lake Elsinore, CA
  • NPI 1740828599
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1306950944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 LAKESHORE DR",
            "address_2": "STE 1",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304909",
            "telephone_number": "951-674-6836",
            "fax_number": "951-674-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 LAKESHORE DR STE 1",
            "address_2": "STE 1",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304909",
            "telephone_number": "951-674-6836",
            "fax_number": "951-674-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEN-RX-DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "ROUZITALAB",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "951-674-6836",
        "authorized_official_credential": "PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY39942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1997621",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA399420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306950944",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENRX DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GENRX DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raegan Garcia, RN
• Holis Gardner
• Garfield Beach CVS LLC (CVS Pharmacy #09654)
• Garfield Beach CVS LLC (CVS Pharmacy #17274)
• Jennifer Garzon, LVN
• Genesis Pharmacy Corp (The Medicine Shoppe)
• Genesis Pharmacy Corp (Enova Care Pharmacy)
• Camille M George
• Michael E Geraghty, PH.D.
• Geoffrey David Gerstein, LPT

• Community/Retail Pharmacy in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.