Organization Active NPI

Mexusa LLC

  • Community/Retail Pharmacy
  • Los Alamitos, CA
National Provider Identifier
1568057958
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEXUSA LLC
Practice address
4012 Katella Ave Ste 101
Los Alamitos, CA 90720-3448
Phone
(562) 431-1131
NPI assigned
Mar 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Azael Montoya
Title
Ceo/Managing Member
Phone
(714) 360-9297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4012 Katella Ave Ste 101
Los Alamitos, CA 90720-3448

Mailing address

4012 Katella Ave Ste 101
Los Alamitos, CA 90720-3448

Other names 1

  • C & H 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.

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1568057958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 KATELLA AVE STE 101",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 KATELLA AVE STE 101",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203448",
            "telephone_number": "562-431-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEXUSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "AZAEL",
        "authorized_official_title_or_position": "CEO/MANAGING MEMBER",
        "authorized_official_telephone_number": "714-360-9297"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C & H Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.