Prime Wholesale LLC.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PRIME WHOLESALE LLC.

Practice address

218 Machlin CT Unit 113
Walnut, CA 91789-3048

Phone

(310) 418-1881

NPI assigned

Jul 14, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Mohamed Sherif

Title

Managing Partner

Phone

(310) 418-1881

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1720650294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 MACHLIN CT UNIT 113",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 MACHLIN CT UNIT 113",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893048",
            "telephone_number": "310-418-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME WHOLESALE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "SHERIF",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "310-418-1881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Walnut, CA
• Providers in Walnut, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.