SOUTH PARK PHARMACY
NPI 1184243602
Pharmacy - Community/Retail Pharmacy in Los Angeles, CA

Q: What is Dtla Rx Pharmacy Apc's NPI number?

The NPI number for Dtla Rx Pharmacy Apc is 1184243602. It was assigned to this organization in the NPPES registry on April 14, 2020. The provider is doing business as South Park Pharmacy.

Q: What is Dtla Rx Pharmacy Apc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since April 14, 2020

1120 S GRAND AVE STE 103, LOS ANGELES, CA 90015(213) 745-5000(213) 745-5000 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2022, Apr 14, 2020 (2 updates tracked since 2020).

On this page

About South Park Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH PARK PHARMACY (NPI 1184243602) is a healthcare organization registered as a community/retail pharmacy in Los Angeles, California and active in the NPI registry since April 2020. The organization lists Rahul Kumar, Ceo/sec/cfo/president/dir, as its authorized official.

NPPES Registry Identity

NPI1184243602

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameDTLA RX PHARMACY APC

Location Address1120 S GRAND AVE STE 103Los Angeles, CA 90015-4677

Mailing Address1120 S Grand Ave Ste 103Los Angeles, CA 90015-4677 · (213) 745-5000 · Fax (213) 745-5000

Phone(213) 745-5000

Fax(213) 745-5000

Organization SubpartNo

Authorized OfficialRahul KumarCeo/sec/cfo/president/dir · (213) 745-5000

Enumeration DateApril 14, 2020

Last NPPES UpdateJune 7, 20222 updates tracked since enumeration

NPPES CertifiedJune 7, 2022

✔ NPI 1184243602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

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.

1120 S GRAND AVE STE 103, Los Angeles, CA 90015

Open in Google Maps ↗

Other Names 1

Doing Business AsSouth Park Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Park Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dtla Rx Pharmacy Apc's NPI number?

The NPI number for Dtla Rx Pharmacy Apc is 1184243602. It was assigned to this organization in the NPPES registry on April 14, 2020. The provider is doing business as South Park Pharmacy.

Where is Dtla Rx Pharmacy Apc located?

Dtla Rx Pharmacy Apc is located at 1120 S Grand Ave Ste 103, Los Angeles, CA 90015. The listed phone number is (213) 745-5000.

What is Dtla Rx Pharmacy Apc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Dtla Rx Pharmacy Apc enrolled in Medicare?

Yes. Dtla Rx Pharmacy Apc is registered in the Medicare PECOS enrollment system.

What insurance does Dtla Rx Pharmacy Apc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 44 other insurers list Dtla Rx Pharmacy Apc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dtla Rx Pharmacy Apc was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.