Provider Demographics
NPI:1609981620
Name:RX CONSULTANTS GROUP INC
Entity type:Organization
Organization Name:RX CONSULTANTS GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:714-309-2068
Mailing Address - Street 1:11515 ARTESIA BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-3852
Mailing Address - Country:US
Mailing Address - Phone:562-402-1000
Mailing Address - Fax:562-402-2471
Practice Address - Street 1:11515 ARTESIA BLVD STE 101
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-3852
Practice Address - Country:US
Practice Address - Phone:562-402-1000
Practice Address - Fax:562-402-2471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY52473333600000X
3336C0003X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2149244OtherPK
CA5419320001Medicare NSC
CABT5034169OtherDEA
CABG755Medicare PIN
CAPHA417210Medicaid