OrganizationActiveAccepts Medicare
Select Ltc Pharmacy Corporation
NPI 1760074579 · Long Term Care Pharmacy · Los Angeles, CA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1760074579
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ellina Chulpaeff, President/Ceo(310) 341-3455
Specialties & taxonomies
Suppliers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
11203 S La Cienega Blvd
Los Angeles, CA 90045-6112
Phone: (310) 341-3455
Fax: (310) 341-3454
Street-level locationGet directions
Mailing address
11203 S La Cienega Blvd
Los Angeles, CA 90045-6112
Other names (DBA / former)
- Doing business as
- Select Ltc Pharmacy
Registry dates
- Enumerated
- 2021-02-04
- Last updated
- 2021-02-04
- Certified
- 2021-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.