Organization Active NPI

Lax Pharmacy

  • Community/Retail Pharmacy
  • Lennox, CA
National Provider Identifier
1801079843
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
48895 Issued in CA
Legal business name
LAX PHARMACY
Practice address
4457 Lennox Blvd
Lennox, CA 90304-2303
Phone
(310) 674-1403
Fax
(310) 674-1421
NPI assigned
Dec 13, 2007
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Dr. Michael Ahdout, PHARM.D.NPI 1356521520
Title
Pharmacist/President
Phone
(310) 674-1403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 48895 CA Primary

Addresses

Primary practice location

4457 Lennox Blvd
Lennox, CA 90304-2303

Mailing address

4457 Lennox Blvd
Lennox, CA 90304-2303
Phone (310) 674-1403

National Provider Directory

National Provider Directory
Tax ID family
Lax Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1801079843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4457 LENNOX BLVD",
            "city": "LENNOX",
            "state": "CA",
            "postal_code": "903042303",
            "telephone_number": "310-674-1403",
            "fax_number": "310-674-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4457 LENNOX BLVD",
            "city": "LENNOX",
            "state": "CA",
            "postal_code": "903042303",
            "telephone_number": "310-674-1403",
            "fax_number": "310-674-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAX PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "AHDOUT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST/PRESIDENT",
        "authorized_official_telephone_number": "310-674-1403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "48895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lennox, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.