Healthcare Provider Details

I. General information

NPI: 1295180958
Provider Name (Legal Business Name): NEST RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2016
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3303 HARBOR BLVD STE C2
COSTA MESA CA
92626-1518
US

IV. Provider business mailing address

3303 HARBOR BLVD STE C2
COSTA MESA CA
92626-1518
US

V. Phone/Fax

Practice location:
  • Phone: 949-996-4354
  • Fax: 888-509-0768
Mailing address:
  • Phone: 949-996-4354
  • Fax: 888-509-0768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336M0003X
TaxonomyManaged Care Organization Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: SHAIDA ABBAS
Title or Position: COO
Credential:
Phone: 949-996-4354