Active NPI
Morningside Medical Pharmacy, Inc.
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1982748430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHA49269
- Legal business name
- MORNINGSIDE MEDICAL PHARMACY, INC.
- Practice address
- 1704 W Manchester Ave
Los Angeles, CA 90047-3034 - Phone
- (323) 753-1333
- Fax
- (323) 753-1335
- NPI assigned
- Feb 17, 2007
- Last updated
- Sep 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Remy Mgbojirikwe
- Title
- President
- Phone
- (323) 753-1333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHA49269 | CA | Primary |
Addresses
Primary practice location
1704 W Manchester Ave
Los Angeles, CA 90047-3034
Mailing address
1704 W Manchester Ave
Los Angeles, CA 90047-3034
Phone (323) 753-1333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200810001310 | CA | Part B Supplier - Pharmacy | 4688099542 | Practice locations: Los Angeles, CA |
| O20201029002318 | CA | DME Supplier - Pharmacy | 4688099542 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Morningside Medical Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Los Angeles, CA
- NPI 1902051790
Locations
1704 W Manchester Ave
Ste 100
Los Angeles, CA 90047
Phone (323) 753-1333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Los Angeles, CA
- NPI 1154790194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694476800000",
"number": "1982748430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 W MANCHESTER AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900473034",
"telephone_number": "323-753-1333",
"fax_number": "323-753-1335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 W MANCHESTER AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900473034",
"telephone_number": "323-753-1333",
"fax_number": "323-753-1335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORNINGSIDE MEDICAL PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-17",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A",
"authorized_official_last_name": "MGBOJIRIKWE",
"authorized_official_first_name": "REMY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-753-1333",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHA49269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Tracey Morita
- Andrea Marie Kawehi'Lani Morland
- Margarette Morney-Kuanyawo
- Rosa S Morng, PHARMACY TECHINICIAN
- Morning Calm Psychotherapy, Inc.
- Morningside Medical Pharmacy,Inc
- Morningside Primary Care
- Morningside Primary Care Medical Center MC Inc a Nevada Corporation (Morningside Primary Care Medical Center Inc)
- Morningside Primary Care Medical Ctr, Inc
- Morningside Specialty Hospital Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.