East la Pharmacy Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY54275 Issued in CA

Legal business name

EAST LA PHARMACY CORP

Doing business as

East L.A. Pharmacy, Corp.

Practice address

4968 Whittier Blvd
Los Angeles, CA 90022-3130

Phone

(323) 685-5039

Fax

(323) 685-2840

NPI assigned

Aug 4, 2016

Organization subpart

No

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

Authorized official

Name

Michelle LozanoNPI 1275086696

Title

Off. MNGR/ Secretary

Phone

(323) 685-5039

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• East L.A. Pharmacy, Corp. Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Lozano

  • Pharmacist
  • Los Angeles, CA
  • NPI 1275086696
  NPD (past) Authorized official
• Ibukun Oladele Bandele

  • Pharmacist
  • Los Angeles, CA
  • NPI 1649820101
  NPD (past)

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1902350150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4968 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900223130",
            "telephone_number": "323-685-5039",
            "fax_number": "323-685-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4968 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900223130",
            "telephone_number": "323-685-5039",
            "fax_number": "323-685-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFF. MNGR/ SECRETARY",
        "authorized_official_telephone_number": "323-685-5039"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY54275",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162414",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East L.A. Pharmacy, Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East la Doctors Hospital LP
• East la Emergency Physicians, Inc.
• East la Paz Family Medical Clinic PA
• East la Paz Family Medical Clinic, PC
• East la Paz Medical Clinic (East Family Medical Clinic)
• East Los Angeles Cardiology Medical Group, Inc.
• East Los Angeles Center for Orthopedics and Rehabilitation
• East Los Angeles Clinica Medica General Medical Center Inc
• East Los Angeles Health Task (Clinica Medica Jose Carlos)
• East Los Angeles Health Task Force

• Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.