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CRENSHAW PHARMCARE INC NPI 1780788737


NPI Information

NPI: 1780788737
Provider Name: CRENSHAW PHARMCARE INC

Doing Business As: STOCKER RX PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 05D0977971

Address:
3750 SANTA ROSALIA DR UNIT 1
LOS ANGELES, CA
ZIP 90008
Phone: (323) 295-3194
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CRENSHAW PHARMCARE INC 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. CRENSHAW PHARMCARE INC NPI is 1780788737. The provider is registered as an organization entity type.
The provider Is Doing Business As Stocker Rx Pharmacy.

The provider's business location address is:

3750 SANTA ROSALIA DR UNIT 1
LOS ANGELES, CA
ZIP 90008-627
Phone: (323) 295-3194
Fax: (323) 295-3270

The provider's authorized official is Hyo Soo Lee .
The authorized official title is President and has the following contact phone number (323) 295-3194.

The CLIA number assigned to this NPI record is 05D0977971 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/12/2006 and was last updated on 1/18/2017.


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 PharmacyPHY53268CALIFORNIAYes

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
14432510003MEDICARE NSC
2PHA470660MEDICAIDCALIFORNIA
32113529OTHERPK

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.