Reliance FB RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY51184 Issued in CA

Legal business name

RELIANCE FB RX LLC

Doing business as

RELIANCE PHARMACY

Practice address

11333 Sepulveda Blvd
Suite 1200
Mission Hills, CA 91345-1116

Phone

(818) 837-5999

Fax

(818) 837-5920

NPI assigned

Dec 17, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Brahmaji Valiveti, RPH

Title

Member/Owner

Phone

(818) 837-5999

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RELIANCE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1629314869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 SEPULVEDA BLVD",
            "address_2": "SUITE 1200",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451116",
            "telephone_number": "818-837-5999",
            "fax_number": "818-837-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 SEPULVEDA BLVD",
            "address_2": "SUITE 1200",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451116",
            "telephone_number": "818-837-5999",
            "fax_number": "818-837-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE FB RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "VALIVETI",
        "authorized_official_first_name": "BRAHMAJI",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "818-837-5999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY51184",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER",
            "identifier": "56-46091",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY LICENSE",
            "identifier": "PHY 51184",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RELIANCE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.