Active NPI
Advanced RX Inc
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1366616005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY49031
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5630050 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- ALVARADO DISCOUNT PHARMACY
National Provider Directory
National Provider DirectoryLocations
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
- Advanced Multispecialty Surgery Center, LLC
- Advanced Nursing Therapeutics Inc
- Advanced Pain Control
- Advanced Pain Management & Wellness, a Medical Corporation
- Advanced Respiratory Medical Systems Inc
- Advanced Skilled Nursing Inc.
- Advanced Sleep Medicine Services Inc
- Advanced Sleep Medicine Services Inc
- Advanced Sleep Medicine Services Inc
- Advanced Sleep Medicine Services, Inc.
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.