Organization Active NPI

GNRX Pharmacy Inc

  • Community/Retail Pharmacy
  • San Pedro, CA
National Provider Identifier
1902368079
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GNRX PHARMACY INC
Practice address
2440 S Western Ave
San Pedro, CA 90732-4334
Phone
(310) 868-8770
Fax
(424) 210-5090
NPI assigned
Apr 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Ms. Antoanela Ioana AlexandruNPI 1578044996
Title
Pharmacist-in-Charge and Ceo
Phone
(805) 422-9193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2440 S Western Ave
San Pedro, CA 90732-4334

Mailing address

2440 S Western Ave
San Pedro, CA 90732-4334
Phone (310) 868-8770

Other identifiers 1

IdentifierTypeStateIssuer
199ETI5PMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200127002514 CA Part B Supplier - Pharmacy 7315370111 Practice locations: San Pedro, CA

National Provider Directory

National Provider Directory

Locations

2440 S Western Ave
San Pedro, CA 90732
Phone (310) 868-8770

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1902368079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 S WESTERN AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324334",
            "telephone_number": "310-868-8770",
            "fax_number": "424-210-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 S WESTERN AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324334",
            "telephone_number": "310-868-8770",
            "fax_number": "424-210-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GNRX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "ALEXANDRU",
        "authorized_official_first_name": "ANTOANELA IOANA",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE AND CEO",
        "authorized_official_telephone_number": "805-422-9193",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199ETI5P",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.