Echo Park Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ECHO PARK PHARMACY

Practice address

1310 Echo Park Ave
Los Angeles, CA 90026-3318

Phone

(213) 482-1149

Fax

(213) 482-5100

NPI assigned

Jan 23, 2007

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 2

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.

• Metro Discount Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1366554347
  NPD tax ID

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1467506808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 ECHO PARK AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 ECHO PARK AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263318",
            "telephone_number": "213-482-1149",
            "fax_number": "213-482-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHO PARK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-09-11",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY40631",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0519112",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA406310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Elena Echeveste
• Lacrista Joi Echevestre, CRNA
• Aileen Marie Echiverri-Cohen, PHD
• Edith Reantillo Echiverri, MD
• Echo Park Creative Psychology, Inc.
• Felicia Lachelle Echols
• Jennifer Echols
• Santonio Emanuell Echols, NBC-HWC
• Virginia Eck, CADC-I
• Lydia Eckels

• 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 Sep 11, 2025; 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.