NPIMap

Organization Active NPI

Wellpathrx Inc

Doing business as Park Mesa Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1457850125
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
55987 Issued in CA
Legal business name
WELLPATHRX INC
Doing business as
Park Mesa Pharmacy
Practice address
4314 W Slauson Ave
Suite 1
Los Angeles, CA 90043-2808
Phone
(323) 378-3323
Fax
(323) 378-3324
NPI assigned
Feb 7, 2018
Last updated
Jul 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Joseph CherianNPI 1699051979
Title
Owner/President/Pic/Ao
Phone
(714) 319-4653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 55987 CA Primary

Addresses

Primary practice location

4314 W Slauson Ave
Suite 1
Los Angeles, CA 90043-2808

Mailing address

4314 W Slauson Ave
Suite 1
Los Angeles, CA 90043-2808
Phone (323) 378-3323

Other identifiers 1

IdentifierTypeStateIssuer
2175520OtherPK

Other names 1

  • Park Mesa Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1457850125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 W SLAUSON AVE",
            "address_2": "SUITE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432808",
            "telephone_number": "323-378-3323",
            "fax_number": "323-378-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 W SLAUSON AVE",
            "address_2": "SUITE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432808",
            "telephone_number": "323-378-3323",
            "fax_number": "323-378-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPATHRX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "CHERIAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PIC/AO",
        "authorized_official_telephone_number": "714-319-4653"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "55987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175520",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Mesa 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 Jul 27, 2018; 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.