Active NPI
Fairveola Banks
Doing business as Intra Rx Drugs Lynwood
- Long Term Care Pharmacy
- Lynwood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- FAIRVEOLA BANKS
- Doing business as
- Intra Rx Drugs Lynwood
- Practice address
- 3628 E Imperial Hwy Ste 102
Lynwood, CA 90262-2600 - Phone
- (310) 637-2006
- Fax
- (310) 637-2522
- NPI assigned
- Nov 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fairveola Banks
- Title
- Owner
- Phone
- (310) 637-2006
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
3628 E Imperial Hwy Ste 102
Lynwood, CA 90262-2600
Mailing address
3628 E Imperial Hwy Ste 102
Lynwood, CA 90262-2600
Phone (310) 637-2006
Other names 1
- Intra Rx Drugs Lynwood
National Provider Directory
National Provider Directory- Tax ID family
- Fairveola Banks
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
3628 E Imperial Hwy
Ste 102
Lynwood, CA 90262
Phone (310) 637-2006
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacy
- Lynwood, CA
- NPI 1659876605
-
- Pharmacist
- Lynwood, CA
- NPI 1821812959
-
- Pharmacist
- Lynwood, CA
- NPI 1376996025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731369600000",
"number": "1366266744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3628 E IMPERIAL HWY STE 102",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622600",
"telephone_number": "310-637-2006",
"fax_number": "310-637-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3628 E IMPERIAL HWY STE 102",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622600",
"telephone_number": "310-637-2006",
"fax_number": "310-637-2522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRVEOLA BANKS",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-12",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A",
"authorized_official_last_name": "BANKS",
"authorized_official_first_name": "FAIRVEOLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-637-2006"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Intra Rx Drugs Lynwood",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.