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PRX PHARMACORP NPI 1215164223


NPI Information

NPI: 1215164223
Provider Name: PRX PHARMACORP

Doing Business As: ELEVATE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 05D2200573

Address:
8631 W 3RD ST STE 320E
LOS ANGELES, CA
ZIP 90048
Phone: (310) 657-4090
Get Directions

PRX PHARMACORP is a community/retail pharmacy pharmacy in Los Angeles, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PRX PHARMACORP NPI is 1215164223. The provider is registered as an organization entity type.
The provider Is Doing Business As Elevate Pharmacy.

The provider's business location address is:

8631 W 3RD ST STE 320E
LOS ANGELES, CA
ZIP 90048-901
Phone: (310) 657-4090
Fax: (310) 657-4790

The provider's authorized official is Payam Shabboui .
The authorized official title is President/ceo/pic and has the following contact phone number (310) 657-4090.

The CLIA number assigned to this NPI record is 05D2200573 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2009 and was last updated on 3/26/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15634729OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2PHY59257OTHERCALIFORNIABOARD OF PHARMACY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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