CENTRAL COMMUNITY PHARMACY, INC. (NPI# 1952457418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952457418 |
| Entity Type | Organization |
| Organization Name | CENTRAL COMMUNITY PHARMACY, INC. |
| Practice Address |
2701 S Central Ave Los Angeles CA 90011-5527 |
| Practice Telephone | 3238461800 |
| Practice Fax Number | 3238461866 |
| Mailing Telephone | 3238461800 |
| Mailing Fax Number | 3238461866 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. OSAMA (SAM) M. SHOKAIR (CEO, PHARMACIST IN CHARGE, OWNER) |
| Authorized Official Telephone | 3238461800 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHY 47177 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA471770 | 05 |
| Street Address |
2701 S CENTRAL AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90011-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223935 | Commercial & Housing Support Aid | Assisted Living Facility | 120 - 122 East 24th Street, Los Angeles, CA 90011 | 2020-10-22 |
| 1295377711 | Joseph D Madrigal | Home Health Aide | 1977 Anzac Ave, Los Angeles, CA 90011 | 2019-10-16 |
| 1538641212 | Brenda Bahena | Community Health Worker | South Central Family Health Center, 4425 S. Central Ave, Los Angeles, CA 90011 | 2018-08-30 |
| 1083101851 | Bronwyn Anne Hazlewood | Student in an Organized Health Care Education/Training Program | 3740 Maple Ave, 1/2 B, Los Angeles, CA 90011 | 2018-04-17 |
| 1164941183 | Kimberly Denise Lister- Gutierrez | Counselor | 303 E 52nd Street, Los Angeles, CA 90011 | 2017-09-11 |
| 1205252533 | Jameese B Smith | Case Manager/Care Coordinator | 271 E. 43rd Street, Los Angeles, CA 90011 | 2014-03-11 |
| 1033533153 | Avalon-carver Community Center | Community/Behavioral Health | 4920 S. Avalon Blvd, Los Angeles, CA 90011 | 2014-02-10 |
| 1245672500 | Kellie D Bougard | Student in an Organized Health Care Education/Training Program | 4920 South Avalon Blvd, Los Angeles, CA 90011 | 2013-07-26 |
| 1578909404 | Ma. Jasmin F Binas | Nurse Practitioner | 2707 S.central Ave., Los Angeles, CA 90011 | 2013-05-19 |
| 1912343344 | California Assisted Pharmacy, Inc | Pharmacy | 646 E 28th St, Ste #1, Los Angeles, CA 90011 | 2013-05-13 |
| Find all providers in zip 90011 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820485 | Kaiser Foundation Health Plan Inc | Pharmacy | 5300 Mcconnell Ave Fl 1, Rm 1150, Los Angeles, CA 90066-7026 | 2020-04-24 |
| 1164042453 | Clover Care Pharmacy Inc | Pharmacy | 266 S Harvard Blvd Ste 140, Los Angeles, CA 90004-4389 | 2020-04-16 |
| 1831724244 | Pharmedquest Pharmacy Services | Pharmacy | 325 E. 7th Street, Room 101, Los Angeles, CA 90014-9001 | 2020-03-05 |
| 1568004083 | Ema Healthcare, Inc | Pharmacy | 447a E El Segundo Blvd, Los Angeles, CA 90061-2741 | 2019-10-16 |
| 1114568698 | Kaiser Foundation Health Plan Inc | Pharmacy | 7007 Romaine St, Los Angeles, CA 90038 | 2019-10-04 |
| 1538710025 | Pharmedquest Pharmacy Services | Pharmacy | 954 N Vermont Ave # 132, Los Angeles, CA 90029-3529 | 2019-09-25 |
| 1033604178 | Emily Wong | Pharmacy | 640 N Broadway Ste 3, Los Angeles, CA 90012-2815 | 2018-06-29 |
| 1447700737 | T & T Care, Inc | Pharmacy | 2015 Wilshire Blvd, Los Angeles, CA 90057-3503 | 2016-10-11 |
| 1851847982 | South Central Family Health Center | Pharmacy | 1109 E Vernon Ave, Los Angeles, CA 90011-3718 | 2016-08-29 |
| 1497109318 | Anita Ashoori | Pharmacy | 1520 Camden Ave, Los Angeles, CA 90025-3463 | 2016-04-17 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90011 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.