Lila Rouzitalab, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

81539 Issued in CA

Practice address

16800 Lakeshore Dr Ste 1
Lake Elsinore, CA 92530-4909

Phone

(951) 674-6836

Fax

(951) 674-9773

NPI assigned

Dec 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gen-RX-Drugs

  • Community/Retail Pharmacy
  • Lake Elsinore, CA
  • NPI 1306950944
  NPD (past)

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1740828599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 LAKESHORE DR",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304909",
            "telephone_number": "951-674-6836",
            "fax_number": "951-674-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 LAKESHORE DR STE 1",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304909",
            "telephone_number": "951-674-6836",
            "fax_number": "951-674-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUZITALAB",
        "first_name": "LILA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "81539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Ronan
• Allen Tristan Rosario
• Walter E Rosenkranz, D.M.D.
• Shavar Ross
• Gholam H Rouzitalab, RPH
• Rowi Rancho Cucamonga LLC
• Joseph Royal, SUD
• Randy L.Ee Rozar, MFTI
• Joel Arturo Rubio
• Jennifer Marie Ruckoldt

• Pharmacist in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.