Organization Active NPI

Fox Drug of Torrance Inc

  • Community/Retail Pharmacy
  • Torrance, CA
National Provider Identifier
1699825042
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FOX DRUG OF TORRANCE INC
Practice address
1327 El Prado Ave
Torrance, CA 90501-2716
Phone
(310) 328-7244
Fax
(310) 782-3519
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Dr. Ahmed Atallah, RPH
Title
Owner
Phone
(310) 328-7244

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X RPH37668 CA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1327 El Prado Ave
Torrance, CA 90501-2716

Mailing address

1327 El Prado Ave
Torrance, CA 90501-2716
Phone (310) 328-7244

Other identifiers 1

IdentifierTypeStateIssuer
PHA353630MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210423000534 CA Part B Supplier - Mass Immunization (Roster Biller Only) 9032239835 1 other NPI on this enrollment
Practice locations: Rolling Hills Est, CA; Torrance, CA

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

1327 El Prado Ave
Torrance, CA 90501
Phone (310) 328-7244

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1699825042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 EL PRADO AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012716",
            "telephone_number": "310-328-7244",
            "fax_number": "310-782-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 EL PRADO AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012716",
            "telephone_number": "310-328-7244",
            "fax_number": "310-782-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX DRUG OF TORRANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2021-06-02",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "ATALLAH",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-328-7244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH37668",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA353630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.