Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crenshaw Pharmacy Inc

Organization Pharmacy · NPI 1417346305

Crenshaw Pharmacy Inc is a Pharmacy in Los Angeles, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3631 Crenshaw Blvd Ste 111
Los Angeles, CA 90016-4869
Phone: (323) 732-5555
Fax: (323) 734-5555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY55990 (CA)
Pharmacy Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 54248 (CA)

Record details

NPI number1417346305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ardalan Behel — Ceo · (310) 402-7318
NPI enumeratedJanuary 14, 2015
Last updated in NPPESMarch 30, 2022
Certification dateMarch 30, 2022
Mailing address3631 Crenshaw Blvd Ste 111, Los Angeles, CA 90016-4869

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