Organization Active NPI

Wholerx Inc

Doing business as Porter Ranch Pharmacy

  • Community/Retail Pharmacy
  • Porter Ranch, CA
National Provider Identifier
1538350541
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Mojdeh RouhaniNPI 1154908572
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2112565OtherPK
1538350541MedicaidCA

Other names 1

  • PORTER RANCH PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.