OrganizationActive
Custom Rx Pharmacy
NPI 1023190774 · Pharmacist · Los Angeles, CA
Custom Rx Pharmacy is a Pharmacist organization in Los Angeles, CA (NPI 1023190774).
Provider details
- NPI number
- 1023190774
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Michael Imanoel, Pharmacist (president)(323) 937-7879
- License
- 46817710 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
731 1/2 N La Brea Ave
Los Angeles, CA 90038-3338
Phone: (323) 937-7879
Street-level locationGet directions
Mailing address
Po Box 48408
Los Angeles, CA 90048-0408
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2009-08-24
Frequently asked questions
- What is Custom Rx Pharmacy's NPI number?
- Custom Rx Pharmacy's National Provider Identifier (NPI) is 1023190774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Rx Pharmacy?
- Custom Rx Pharmacy is classified in the NPPES registry as Pharmacist (Pharmacy Service Providers).
- Where is Custom Rx Pharmacy located?
- Custom Rx Pharmacy's practice location on file with NPPES is 731 1/2 N La Brea Ave, Los Angeles, CA 90038-3338.
- What is Custom Rx Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Custom Rx Pharmacy is (323) 937-7879.
- Who is the authorized official for Custom Rx Pharmacy?
- The authorized official listed on Custom Rx Pharmacy's NPPES record is Michael Imanoel, Pharmacist (president). The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Rx Pharmacy's NPI active?
- Yes — Custom Rx Pharmacy's NPI (1023190774) is active in the NPPES registry as of the last update on 2009-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.