Healthcare Provider Details

I. General information

NPI: 1184777286
Provider Name (Legal Business Name): EXPRESS RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2503 BEVERLY BLVD FL 1
LOS ANGELES CA
90057-1000
US

IV. Provider business mailing address

2503 BEVERLY BLVD FL 1
LOS ANGELES CA
90057-1000
US

V. Phone/Fax

Practice location:
  • Phone: 213-353-0552
  • Fax: 213-353-0562
Mailing address:
  • Phone: 213-353-0552
  • Fax: 213-353-0562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. BORIS GRINSHTEYN
Title or Position: PRESIDENT/RPH
Credential: PHARM D
Phone: 213-353-0552