Active NPI
First Street Rexall Drugs
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1720121882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY42875
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA428750 | Medicaid | CA | |
| PHA032340 | Medicaid | CA | |
| 0503234 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- RAMIREZ FIRST STREET PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.