MEDICARE: EXPRESS RX INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
2	261QS1200X	Sleep Disorder Diagnostic Clinic/Center
3	3336C0003X	Community/Retail Pharmacy
4	332BX2000X	Oxygen Equipment & Supplies (DME)
5	3336M0002X	Mail Order Pharmacy
6	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1184777286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXPRESS RX INC

Provider Business Mailing Address
First Line	:	2503 BEVERLY BLVD FL 1
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-1000
Country	:	US
Telephone Number	:	213-353-0552
Fax Number	:	213-353-0562

Provider Business Practice Location Address
First Line	:	2503 BEVERLY BLVD FL 1
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-1000
Country	:	US
Telephone Number	:	213-353-0552
Fax Number	:	213-353-0562

Authorized Official
Title or Position	:	PRESIDENT/RPH
Name	:	MR. BORIS GRINSHTEYN
Credential	:	PHARM D
Telephone Number	:	213-353-0552

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	12/11/2025

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