Cccri Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CCCRI INC

Doing business as

Eliterx Pharmacy

Practice address

2705 W Lincoln Ave
Anaheim, CA 92801-6325

Phone

(714) 874-5076

Fax

(714) 876-0705

NPI assigned

Aug 30, 2019

Last updated

Aug 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rhea Ortiz-Luis

Title

Ceo

Phone

(714) 874-5076

Specialties & licenses 1

Addresses

Other names 1

• ELITERX PHARMACY Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Georgina Vinuya, RPH

  • Pharmacist
  • Anaheim, CA
  • NPI 1871136762
  NPD
• Jian Yi Kertcher

  • Pharmacist
  • Santa Ana, CA
  • NPI 1427652692
  NPD (past)

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1720636921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 W LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016325",
            "telephone_number": "714-874-5076",
            "fax_number": "714-876-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 W LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016325",
            "telephone_number": "714-874-5076",
            "fax_number": "714-876-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCCRI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-LUIS",
        "authorized_official_first_name": "RHEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-874-5076"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITERX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alejandra Ceballos- Martinez, BA
• Itzel Ceballos
• Jozalyn Ceballos
• Cedars Home Health Care Inc

• Community/Retail Pharmacy in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.