Active NPI
Ra Investment Capital,Inc
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1679165484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY58083 | Other | CA | BOARD OF PHARMACY |
Other names 1
- OPTIMUM PHARMACY
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2221764 | Optimum Pharmacy | Certificate of waiver | Apr 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.