Pacoima Rx Pharmacy Inc
NPI 1104546365 · Community/Retail Pharmacy · Pacoima, CA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pacoima Rx Pharmacy Inc is a Community/Retail Pharmacy organization in Pacoima, CA (NPI 1104546365).
Provider details
- NPI number
- 1104546365
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mayer Rafikalimy, President/Ceo(747) 227-3077
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Other names (DBA / former)
- Doing business as
- Pacoima Rx Pharmacy
Registry dates
- Enumerated
- 2022-08-29
- Last updated
- 2022-08-29
- Certified
- 2022-08-29
Frequently asked questions
- What is Pacoima Rx Pharmacy Inc's NPI number?
- Pacoima Rx Pharmacy Inc's National Provider Identifier (NPI) is 1104546365, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacoima Rx Pharmacy Inc?
- Pacoima Rx Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Pacoima Rx Pharmacy Inc located?
- Pacoima Rx Pharmacy Inc's practice location on file with NPPES is 13630 Van Nuys Blvd Ste 101, Pacoima, CA 91331-3655.
- What is Pacoima Rx Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Pacoima Rx Pharmacy Inc is (747) 227-3077.
- Does Pacoima Rx Pharmacy Inc accept Medicare?
- Pacoima Rx Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pacoima Rx Pharmacy Inc?
- The authorized official listed on Pacoima Rx Pharmacy Inc's NPPES record is Mayer Rafikalimy, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacoima Rx Pharmacy Inc's NPI active?
- Yes — Pacoima Rx Pharmacy Inc's NPI (1104546365) is active in the NPPES registry as of the last update on 2022-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.