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PRIME PHARMACY SERVICES INC
NPI 1871767749
Pharmacy - Long Term Care Pharmacy in Los Angeles, CA

Active since April 22, 2008
4211 AVALON BLVD, STE 2, LOS ANGELES, CA 90011(323) 432-5183(323) 232-9414 Get Directions Write a Review

NPPES record last updated: August 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prime Pharmacy Services Inc NPPES

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

PRIME PHARMACY SERVICES INC (NPI 1871767749) is a healthcare organization registered as a long term care pharmacy in Los Angeles, California and active in the NPI registry since April 2008. The organization lists Russell Smith, Cfo, as its authorized official.

NPPES Registry Identity

NPI1871767749
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePRIME PHARMACY SERVICES INC
Location Address4211 AVALON BLVD, STE 2Los Angeles, CA 90011-5622
Mailing Address3010 Wilshire Blvd, Ste 222Los Angeles, CA 90010-1146
Phone(323) 432-5183
Fax(323) 232-9414
Organization SubpartNo
Authorized OfficialRussell SmithCfo · (805) 529-1195
Enumeration DateApril 22, 2008
Last NPPES UpdateAugust 11, 2008
✔ NPI 1871767749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in CA · PHY48954
Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
4211 AVALON BLVD, Los Angeles, CA 90011
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Other Names 1

Doing Business AsPrime Pharmacy Services Inc

Other Identifiers 1

Other5630086Ncpdp Provider Identification Number

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 ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGEL MARTIN
Registered Nurse
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5185
MICHELLE OUATTARA
Occupational Therapist (Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5080
ALEXANDER JERROD BLACK ACSW
Social Worker (Clinical)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
BRIANNA FONSECA
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
JESSE VELAZQUEZ
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. KIERSTEN TAYLOR PHARMD
Pharmacist (Psychiatric)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
NNEKA PATRICIA NJOKU
Nurse Practitioner (Psychiatric/Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. YVORN ASWAD MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 582-2251

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 Prime Pharmacy Services Inc's NPI number?

The NPI number for Prime Pharmacy Services Inc is 1871767749. It was assigned to this organization in the NPPES registry on April 22, 2008.

Where is Prime Pharmacy Services Inc located?

Prime Pharmacy Services Inc is located at 4211 Avalon Blvd Ste 2, Los Angeles, CA 90011. The listed phone number is (323) 432-5183.

What is Prime Pharmacy Services Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Prime Pharmacy Services Inc 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 34 other insurers list Prime Pharmacy Services Inc 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 Prime Pharmacy Services Inc was last updated on August 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.