Organization Active NPI

Advanced RX Inc

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1366616005
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY49031 Issued in CA
Legal business name
ADVANCED RX INC
Practice address
1107 S Alvarado St
Ste 103
Los Angeles, CA 90006-4184
Phone
(213) 387-6702
Fax
(231) 387-6703
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Joseph Kohan
Title
Cfo
Phone
(310) 922-0272

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY49031 CA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1107 S Alvarado St
Ste 103
Los Angeles, CA 90006-4184

Mailing address

13351 Riverside Dr Ste D
Ste 353
Sherman Oaks, CA 91423-2542

Other identifiers 1

IdentifierTypeStateIssuer
5630050OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ALVARADO DISCOUNT PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1107 S Alvarado St
Ste 103
Los Angeles, CA 90006
Phone (213) 387-6702

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1366616005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13351 RIVERSIDE DR STE D",
            "address_2": "STE 353",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S ALVARADO ST",
            "address_2": "STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064184",
            "telephone_number": "213-387-6702",
            "fax_number": "231-387-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "KOHAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "310-922-0272"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY49031",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5630050",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALVARADO DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.