Provider Demographics
NPI:1447308648
Name:ONRX INC
Entity type:Organization
Organization Name:ONRX INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:GARGANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:310-370-1040
Mailing Address - Street 1:3586 REDONDO BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-1404
Mailing Address - Country:US
Mailing Address - Phone:310-370-1040
Mailing Address - Fax:310-542-6411
Practice Address - Street 1:3586 REDONDO BEACH BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-1404
Practice Address - Country:US
Practice Address - Phone:310-370-1040
Practice Address - Fax:310-542-6411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-06
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY44635183500000X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
No3336L0003XSuppliersPharmacyLong Term Care PharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA446350Medicaid
CA6065400001Medicare NSC