Organization Active NPI

First Street Rexall Drugs

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1720121882
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY42875 Issued in CA
Legal business name
FIRST STREET REXALL DRUGS
Practice address
3594 E 1St St
Los Angeles, CA 90063-4144
Phone
(323) 268-3258
Fax
(323) 268-9162
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Authorized official

Name
Robert Ramirez
Title
Owner and Pharmacist
Phone
(323) 268-3258

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY42875 CA Primary

Addresses

Primary practice location

3594 E 1St St
Los Angeles, CA 90063-4144

Mailing address

3594 E 1St St
Los Angeles, CA 90063-4144
Phone (323) 268-3258

Other identifiers 3

IdentifierTypeStateIssuer
PHA428750MedicaidCA
PHA032340MedicaidCA
0503234OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • RAMIREZ FIRST STREET PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3594 E 1st St
Los Angeles, CA 90063
Phone (323) 268-3258

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1720121882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3594 E 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900634144",
            "telephone_number": "323-268-3258",
            "fax_number": "323-268-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3594 E 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900634144",
            "telephone_number": "323-268-3258",
            "fax_number": "323-268-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STREET REXALL DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "323-268-3258"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY42875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA428750",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA032340",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0503234",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAMIREZ FIRST STREET 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 May 20, 2011; 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.