National Provider Identifier Database

CCRX INC
Community/Retail Pharmacy

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.


Contact Information

CCRX INC
1919 W 7TH ST UNIT M
LOS ANGELES, CA90057
Phone: 213-674-7577
Fax: 213-674-7799
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for CCRX INC

NPI Number 1114217239
Legal business name
LBN
CCRX INC
Authorized official SOHEIL ZAFARMEHR - (PRESIDENT/PHARMACIST IN CHARGE)
Entity Organization
Organization subpart No
Enumeration date 04/11/2011
Last updated 11/24/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: PHY56149
  • CA Medicaid: 1114217239
  • CA Other: 56-40710 NCPDP PROVIDER NUMBER
  • CA Other: 56149 STATE BOARD OF PHARMACY PERMIT

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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