Physician RX MGMT Inc.

Primary specialty

ContractorTaxonomy code 171W00000X

License

2621975 Issued in CA

Legal business name

PHYSICIAN RX MGMT INC.

Practice address

611 W Graham Ave
Lake Elsinore, CA 92530-3516

Phone

(951) 471-3578

Fax

(951) 245-4725

NPI assigned

Jan 25, 2007

Last updated

Mar 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Irene Cabral

Title

Ceo

Phone

(951) 471-3578

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1568517613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31500 GRAPE ST # 3-120",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925329702",
            "telephone_number": "951-471-3578",
            "fax_number": "951-245-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W GRAHAM AVE",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925303516",
            "telephone_number": "951-471-3578",
            "fax_number": "951-245-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN RX MGMT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "CABRAL",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-471-3578",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "CA",
            "license": "2621975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Rechister (Fix Your Ears/ Openfit.com)
• Alyssa Phillipe, M.A., BCBA
• Mark G Phillipe, DDS
• Danial Ray Phipps Jr.
• Anh-Hoa Phung
• Brianna Pike
• Gabrielle Whitney Pinchem
• Brittany Fallon Pinheiro
• Araceli Piza
• Claudia Portillo

• Contractor in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.