Active NPI
Wholerx Inc
Doing business as Porter Ranch Pharmacy
- Community/Retail Pharmacy
- Porter Ranch, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WHOLERX INC
- Doing business as
- Porter Ranch Pharmacy
- Practice address
- 19950 Rinaldi St
Suite 102
Porter Ranch, CA 91326-4141 - Phone
- (818) 360-1915
- Fax
- (818) 368-4987
- NPI assigned
- Aug 5, 2007
- Last updated
- Apr 15, 2021
- 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
- Mojdeh Rouhani
- Title
- Owner
- Phone
- (818) 360-1915
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary | |
| Long Term Care Pharmacy | 3336L0003X | NU | ||
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
19950 Rinaldi St
Suite 102
Porter Ranch, CA 91326-4141
Mailing address
19950 Rinaldi St
Suite 102
Porter Ranch, CA 91326-4141
Phone (818) 360-1915
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2112565 | Other | PK | |
| 1538350541 | Medicaid | CA |
Other names 1
- PORTER RANCH PHARMACY
National Provider Directory
National Provider DirectoryLocations
19950 Rinaldi St
Ste 102
Porter Ranch, CA 91326
Phone (818) 360-1915
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.
-
- Community/Retail Pharmacy
- Porter Ranch, CA
- NPI 1154908572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618444800000",
"number": "1538350541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19950 RINALDI ST",
"address_2": "SUITE 102",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913264141",
"telephone_number": "818-360-1915",
"fax_number": "818-368-4987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19950 RINALDI ST",
"address_2": "SUITE 102",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913264141",
"telephone_number": "818-360-1915",
"fax_number": "818-368-4987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLERX INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A",
"authorized_official_last_name": "ROUHANI",
"authorized_official_first_name": "MOJDEH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-360-1915"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2112565",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538350541",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PORTER RANCH PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PORTER RANCH PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Porter Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.