WELLPATHRX INC (NPI# 1457850125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457850125 |
| Entity Type | Organization |
| Organization Name | WELLPATHRX INC |
| Other Organization Name | PARK MESA PHARMACY |
| Practice Address |
4314 W Slauson Ave Suite 1 Los Angeles CA 90043-2808 |
| Practice Telephone | 3233783323 |
| Practice Fax Number | 3233783324 |
| Mailing Telephone | 3233783323 |
| Mailing Fax Number | 3233783324 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-07-27 |
| Authorized Official Name | JOSEPH CHERIAN (OWNER/PRESIDENT/PIC/AO) |
| Authorized Official Telephone | 7143194653 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
55987 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2175520 | 01 |
| Other Name | Type Code |
|---|---|
| Park Mesa Pharmacy | Doing Business As Name - Organization |
| Street Address |
4314 W SLAUSON AVE SUITE 1 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90043-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635102 | Francine Atterberry | Pediatrics | 4314 W Slauson Ave, Los Angeles, CA 90043-2854 | 2005-08-02 |
| 1962049395 | Health Care In Los Angeles | Counselor | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 | 2019-12-04 |
| 1043699093 | Cale Allen Franklin | Pediatrics | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 | 2015-05-22 |
| 1508061011 | Michelle J Min | Nurse Practitioner | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 | 2007-06-15 |
| 1275648149 | Kirsten U Wagner | Nurse Practitioner | 4314 W Slauson Ave, Los Angeles, CA 90043 | 2006-08-20 |
| 1801883038 | Carmel Nichole Raphael | Physician Assistant | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 | 2005-10-03 |
| 1588665798 | Kenneth Ho | Internal Medicine | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 | 2005-08-10 |
| 1114928686 | Huey-jer Su | Internal Medicine | 4314 W Slauson Ave, Los Angeles, CA 90043-2854 | 2005-08-09 |
| 1205837697 | Carl Feld | Internal Medicine | 4314 W Slauson Ave, Los Angeles, CA 90043-2854 | 2005-08-09 |
| 1821099227 | Axminster Medical Group | Family Medicine | 4314 W Slauson Ave, Los Angeles, CA 90043-2854 | 2005-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841772209 | Ichizo Yamada | Counselor | 5318 S Crenshaw Blvd., Los Angeles, CA 90043 | 2018-09-02 |
| 1568961613 | Marnelle Mascardo | Counselor | 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 | 2018-02-05 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1770946303 | Toby Lapesarde | Licensed Vocational Nurse | 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 | 2016-03-31 |
| 1134591480 | Coast Wise Solution | Case Management | 2728 54th St, Los Angeles, CA 90043 | 2015-10-27 |
| 1033589155 | Nina Gonzaga | Marriage & Family Therapist | 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 | 2015-10-01 |
| 1861743189 | Donna M. Tizenor-tate | Counselor | 5300 Angeles Vista Blvd., Los Angeles, CA 90043 | 2012-09-26 |
| 1952657736 | Willie Frank Sibley Jr. | General Practice | 4330 Monteith Dr, Los Angeles, CA 90043 | 2012-07-30 |
| 1639449119 | Nelson M Okeke | Counselor | 8814 S. Western Ave, La, CA 90043 | 2011-12-30 |
| 1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
| Find all providers in zip 90043 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | 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. |
| 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: new] |
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| 1649807140 | Mixlab, Inc. | Pharmacy | 2223 Federal Ave, Los Angeles, CA 90064-1403 | 2020-03-25 |
| 1457985426 | Care Prescription Management | Pharmacy | 5757 Wilshire Blvd Ste 320, Los Angeles, CA 90036-3686 | 2020-02-27 |
| 1609409077 | Altamed Health Services Corp | Pharmacy | 2100 W 3rd St Ste 190, Los Angeles, CA 90057-1999 | 2020-02-13 |
| 1003448184 | Linco Pharmacy, Inc. | Pharmacy | 5755 W Adams Blvd, Los Angeles, CA 90016-2440 | 2020-02-06 |
| 1972149292 | Cedars-sinai Medical Care Foundation | Pharmacy | 11800 Wilshire Blvd Ste 202, Los Angeles, CA 90025-6602 | 2019-11-21 |
| 1659930089 | Jade Kalelei Wilia | Pharmacy | 1411 N Mansfield Ave Apt 9, Los Angeles, CA 90028-7676 | 2019-06-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90043 |
Please comment or provide details below to improve the information on WELLPATHRX INC.
| 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.