Organization Active NPI

Ra Investment Capital,Inc

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1679165484
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RA INVESTMENT CAPITAL,INC
Practice address
1080 S la Cienega Blvd Ste 105
Los Angeles, CA 90035-2686
Phone
(310) 704-7999
NPI assigned
Feb 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Ruben Akhamzadeh, PHARM D
Title
President/Ceo
Phone
(310) 704-7999

Specialties & licenses 2

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

Addresses

Primary practice location

1080 S la Cienega Blvd Ste 105
Los Angeles, CA 90035-2686

Mailing address

1080 S la Cienega Blvd Ste 105
Los Angeles, CA 90035-2686
Phone (310) 704-7999

Other identifiers 1

IdentifierTypeStateIssuer
PHY58083OtherCABOARD OF PHARMACY

Other names 1

  • OPTIMUM PHARMACY Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2221764Optimum Pharmacy1080 S la Cienega Blvd, Los Angeles, CA 90035Certificate of waiverApr 22, 2027

National Provider Directory

National Provider Directory

Locations

1080 S La Cienega Blvd
Ste 105
Los Angeles, CA 90035
Phone (310) 704-7999

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1679165484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 S LA CIENEGA BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352686",
            "telephone_number": "310-704-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 S LA CIENEGA BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352686",
            "telephone_number": "310-704-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RA INVESTMENT CAPITAL,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "AKHAMZADEH",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-704-7999",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "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": "BOARD OF PHARMACY",
            "identifier": "PHY58083",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTIMUM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OPTIMUM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.