Active NPI
Advanced RX LB LLC
- Long Term Care Pharmacy
- Long Beach, CA
National Provider Identifier
1336889161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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 DirectoryLocations
2100 Long Beach Blvd
Long Beach, CA 90806
Phone (562) 912-4011
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY60561 | Other | CA | BOARD OF PHARMACY |
Other names 1
NPPES NPI Registry- ADVANCED CARE PHARMACY
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"
}
]
}
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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.