Crenshaw Pharmcare Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY53268 Issued in CA

Legal business name

CRENSHAW PHARMCARE INC

Doing business as

Stocker RX Pharmacy

Practice address

3750 Santa Rosalia Dr Unit 1
Los Angeles, CA 90008-3627

Phone

(323) 295-3194

Fax

(323) 295-3270

NPI assigned

Sep 12, 2006

Last updated

Jan 18, 2017By 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

Hyo Soo Lee

Title

President

Phone

(323) 295-3194

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• STOCKER RX PHARMACY Doing business as

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1780788737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 SANTA ROSALIA DR UNIT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083627",
            "telephone_number": "323-295-3194",
            "fax_number": "323-295-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 SANTA ROSALIA DR UNIT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083627",
            "telephone_number": "323-295-3194",
            "fax_number": "323-295-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRENSHAW PHARMCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "SOO LEE",
        "authorized_official_first_name": "HYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-295-3194"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY53268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA470660",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2113529",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STOCKER RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crenshaw Dental Group
• Crenshaw Entrepreneurial Academy
• Crenshaw Family Medical Center, Inc
• Crenshaw Nursing Home LLC (Crenshaw Nursing Home)
• Crenshaw Pharmacy Inc
• Crenshaw West Adams Leimert Consortiem (Families In New Directions)
• Kaira Crenshaw, OTR/L
• Keianna Crenshaw
• Nicole T Crenshaw
• Crescent Physician Group

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, 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 Jan 18, 2017; 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.