MEDICARE: NEW CARE RX INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PHY59218	OTHER	CA	BOARD OF PHARMACY

General Provider Information

NPI Number	:	1679126015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW CARE RX INC

Provider Business Mailing Address
First Line	:	4821 LANKERSHIM BLVD STE D
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-4572
Country	:	US
Telephone Number	:	888-405-7565
Fax Number	:	818-301-0291

Provider Business Practice Location Address
First Line	:	4821 LANKERSHIM BLVD STE D
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-4572
Country	:	US
Telephone Number	:	888-405-7565
Fax Number	:	818-301-0291

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	KARINE MELKONYAN
Credential	:
Telephone Number	:	888-405-7565

Provider Enumeration Date	:	07/23/2019
Last Update Date	:	12/04/2023

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Directions to “NEW CARE RX INC ” Practice Location

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