Organization Active NPI

Advanced RX LB LLC

  • Long Term Care Pharmacy
  • Long Beach, CA
National Provider Identifier
1336889161
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ADVANCED RX LB LLC
Practice address
2100 Long Beach Blvd
Long Beach, CA 90806-4807
Phone
(562) 912-4011
Fax
(951) 284-4596
NPI assigned
Mar 30, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Manishkumar Trikambhai Patel
Title
Member
Phone
(562) 912-4011

National Provider Directory

National Provider Directory

Locations

2100 Long Beach Blvd
Long Beach, CA 90806
Phone (562) 912-4011

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

2100 Long Beach Blvd
Long Beach, CA 90806-4807

Mailing address

2100 Long Beach Blvd
Long Beach, CA 90806-4807
Phone (562) 912-4011

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
PHY60561OtherCABOARD OF PHARMACY

Other names 1

NPPES NPI Registry
  • ADVANCED CARE PHARMACY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2025.

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1336889161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908064807",
            "telephone_number": "562-912-4011",
            "fax_number": "951-284-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908064807",
            "telephone_number": "562-912-4011",
            "fax_number": "951-284-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RX LB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MANISHKUMAR",
        "authorized_official_middle_name": "TRIKAMBHAI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "562-912-4011"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY60561",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.