NPIMap

Organization Active NPI

RX Consultants Group Inc

Doing business as The Medicine Shoppe Pharmacy

  • Community/Retail Pharmacy
  • Artesia, CA
National Provider Identifier
1609981620
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RX CONSULTANTS GROUP INC
Doing business as
The Medicine Shoppe Pharmacy
Practice address
11515 Artesia Blvd Ste 101
Artesia, CA 90701-3852
Phone
(562) 402-1000
Fax
(562) 402-2471
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Jean Ly, PHARM.D.
Title
President
Phone
(714) 309-2068

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY52473 CA
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

11515 Artesia Blvd Ste 101
Artesia, CA 90701-3852

Mailing address

11515 Artesia Blvd Ste 101
Artesia, CA 90701-3852
Phone (562) 402-1000

Other identifiers 1

IdentifierTypeStateIssuer
2149244OtherPK

Other names 1

  • The Medicine Shoppe Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120615000072 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1052517521 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Artesia, CA; Santa Ana, CA; South Gate, CA
O20160815002607 CA DME Supplier - Pharmacy 1052517521 Practice locations: Artesia, CA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mercy Pharmacy Long Beach8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17623 Pioneer Blvd
Artesia, CA 90701
Phone (562) 402-1000

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1609981620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 ARTESIA BLVD STE 101",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013852",
            "telephone_number": "562-402-1000",
            "fax_number": "562-402-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 ARTESIA BLVD STE 101",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013852",
            "telephone_number": "562-402-1000",
            "fax_number": "562-402-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX CONSULTANTS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-309-2068",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY52473",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149244",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.