Fairveola Banks

Primary specialty

PharmacyTaxonomy code 333600000X

License

48607 Issued in NU

Practice address

3628 E Imperial Hwy Ste 102
Lynwood, CA 90262-2600

Phone

(310) 637-2006

NPI assigned

Mar 29, 2018

Last updated

Mar 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fairveola Banks

  dba Intra Rx Drugs Lynwood

  • Long Term Care Pharmacy
  • Lynwood, CA
  • NPI 1366266744
  NPD Authorized official
• Fairveola Banks

  dba Intra Rx Drugs Lynwood

  • Community/Retail Pharmacy
  • Lynwood, CA
  • NPI 1285621813
  NPD
• Intra Drugs Artesia

  • Pharmacy
  • Compton, CA
  • NPI 1457351140
  NPD (past)

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1659876605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 E IMPERIAL HWY STE 102",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622600",
            "telephone_number": "310-637-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 E IMPERIAL HWY STE 102",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622600",
            "telephone_number": "310-637-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 S Long Beach Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Compton",
            "state": "CA",
            "postal_code": "902213492",
            "country_code": "US",
            "telephone_number": "310-639-1653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "FAIRVEOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": "48607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Bailey
• Alexander Balderrama, PA
• Marjorie Carol Ballard
• Banj Health Center, Inc. (BANJ Family Medical Clinic)
• Banj Health Center, Inc. (Clinica Para La Mujer)
• Alexandra Banuelos
• Griselda Banuelos
• Jasmin Barajas
• Jillian Barba
• Barbour & Floyd Medical Associates

• Pharmacy in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.