Organization Active NPI

Anil Butala

Doing business as Sunrise Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1962550525
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46820 Issued in CA
Legal business name
ANIL BUTALA
Doing business as
Sunrise Pharmacy
Practice address
3706 E Cesar Chavez Ave
Los Angeles, CA 90063
Phone
(323) 981-9931
Fax
(323) 981-9933
NPI assigned
Jan 8, 2007
Last updated
Sep 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Anil Butala, RPH
Title
Pic and Owner
Phone
(323) 981-9931

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY46820 CA Primary

Addresses

Primary practice location

3706 E Cesar Chavez Ave
Los Angeles, CA 90063

Mailing address

3706 E Cesar Chavez Ave
Los Angeles, CA 90063
Phone (323) 981-9931

Other identifiers 1

IdentifierTypeStateIssuer
5613939OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • SUNRISE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3706 E Cesar E Chavez Ave
Los Angeles, CA 90063
Phone (323) 981-9931

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1962550525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 E CESAR CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90063",
            "telephone_number": "323-981-9931",
            "fax_number": "323-981-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 E CESAR CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90063",
            "telephone_number": "323-981-9931",
            "fax_number": "323-981-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIL BUTALA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "BUTALA",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "PIC AND OWNER",
        "authorized_official_telephone_number": "323-981-9931",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5613939",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNRISE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.