Central Community Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY 47177 Issued in CA

Legal business name

CENTRAL COMMUNITY PHARMACY, INC.

Practice address

2701 S Central Ave
Los Angeles, CA 90011-5527

Phone

(323) 846-1800

Fax

(323) 846-1866

NPI assigned

Jan 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Osama (Sam) M. Shokair, R.PH.

Title

Ceo, Pharmacist in Charge, Owner

Phone

(323) 846-1800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952457418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S CENTRAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900115527",
            "telephone_number": "323-846-1800",
            "fax_number": "323-846-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S CENTRAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900115527",
            "telephone_number": "323-846-1800",
            "fax_number": "323-846-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COMMUNITY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHOKAIR",
        "authorized_official_first_name": "OSAMA (SAM)",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO, PHARMACIST IN CHARGE, OWNER",
        "authorized_official_telephone_number": "323-846-1800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 47177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA471770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hugo Centomo, M.D PH.D.
• Central City Community Health Center Inc
• Central City Community Health Center Inc
• Central City Community Health Center, Inc.
• Central City Community Health Center, Inc.
• Central Medical Clinic Inc
• Central Metro Clinic, Inc
• Central Neighborhood Health Foundation
• Central Neighborhood Health Foundation
• Central Neighborhood Health Foundation

• 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 Aug 22, 2020; 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.