NPIMap

Organization Active NPI

Raj Mistry

  • Community/Retail Pharmacy
  • Huntington Park, CA
National Provider Identifier
1922284249
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RAJ MISTRY
Practice address
3180 E Florence Ave
Huntington Park, CA 90255-5830
Phone
(323) 583-4307
Fax
(323) 583-0900
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Mr. Raj Mistry, B PHARMNPI 1316937675
Title
Owner/Pharmacist
Phone
(323) 583-4307

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
Pharmacy 333600000X PHY34424 CA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3180 E Florence Ave
Huntington Park, CA 90255-5830

Mailing address

3180 E Florence Ave
Huntington Park, CA 90255-5830
Phone (323) 583-4307

Other identifiers 1

IdentifierTypeStateIssuer
344240MedicaidCA

Other names 1

  • COURTESY DRUGS Other name

National Provider Directory

National Provider Directory

Locations

3180 E Florence Ave
Huntington Park, CA 90255
Phone (323) 583-4307

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": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1922284249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555830",
            "telephone_number": "323-583-4307",
            "fax_number": "323-583-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555830",
            "telephone_number": "323-583-4307",
            "fax_number": "323-583-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJ MISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "MISTRY",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "323-583-4307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY34424",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COURTESY DRUGS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "COURTESY DRUGS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.