Metro Discount Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY44769 Issued in CA

Legal business name

METRO DISCOUNT PHARMACY

Practice address

1930 Wilshire Blvd
Ste 1934
Los Angeles, CA 90057-3605

Phone

(213) 484-0994

Fax

(213) 484-4116

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Tarek Ebrahim

Title

Owner

Phone

(818) 395-6691

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Echo Park Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Echo Park Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1467506808
  NPD tax ID

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366554347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 WILSHIRE BLVD",
            "address_2": "STE 1934",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 WILSHIRE BLVD",
            "address_2": "STE 1934",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573605",
            "telephone_number": "213-484-0994",
            "fax_number": "213-484-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO DISCOUNT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EBRAHIM",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-395-6691"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY44769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA408980",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0520999",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Margarita Metrikina, DDS
• Metro Healthcare Medical Corporation
• Metro Healthcare Medical Supply, LLC
• Metro Medical Associates, Inc
• Metro Medical Laboratory
• Metro Nursing Anesthesia Services Inc

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, 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 Aug 22, 2020; 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.