Preferred RX, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

49091 Issued in CA

Legal business name

PREFERRED RX, INC.

Doing business as

Rodeo Pharmacy

Practice address

3560 S la Cienega Blvd Ste B
Los Angeles, CA 90016-4400

Phone

(323) 939-3900

Fax

(323) 939-3909

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

Vadim Gurman

Title

President

Phone

(323) 459-0785

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rodeo Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1790945343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 S LA CIENEGA BLVD STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900164400",
            "telephone_number": "323-939-3900",
            "fax_number": "323-939-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 S LA CIENEGA BLVD STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900164400",
            "telephone_number": "323-939-3900",
            "fax_number": "323-939-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED RX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "GURMAN",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-459-0785"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "49091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF PHARMACY PERMIT NUMBER",
            "identifier": "49091",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rodeo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mark William Pregenzer, PHARM.D.
• Rhoda Leya Pregerson, MA MFT
• Janet Prokop Pregler, MD
• Johnathan Lawrence Pregler, MD
• Teresita Prejillana

• 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 7, 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.

Verify at the official NPI Registry.