F D M Exclusive Image Inc
Community/Retail Pharmacy
891 W 9th St, San Pedro
California, 90731-3603
310-833-2575 310-832-2531
F D M Exclusive Image Inc is a Community/Retail Pharmacy in San Pedro, California. It is located at 891 W 9th St, San Pedro and it's customer support contact number is 310-833-2575. The authorized person of F D M Exclusive Image Inc is Fariborz Massoudi who is Owner of the pharmacy and his contact number is 310-833-2575. Active license number of F D M Exclusive Image Inc is PHY45471 for Community/Retail Pharmacy in California. F D M Exclusive Image Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
F D M Exclusive Image Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
F D M Exclusive Image Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | F D M Exclusive Image Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 891 W 9th St, San Pedro,
California, 90731-3603 |
| Phone: | 310-833-2575 |
| Fax: | 310-832-2531 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Fariborz Massoudi |
| Position: | Owner |
| Contact Number: | 310-833-2575 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1992710545 |
| NPI Enumeration Date: | 30 Jul, 2006 |
| NPI Last Update On: | 19 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for F D M Exclusive Image Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHY45471 | California | Primary | |
| Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2107535 | Other | | Pk |
| PHY45471 | Medicaid | California | |
Medicare Enrollment:
F D M Exclusive Image Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7517066772 | O20070628000520 | F D M Exclusive Image Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 891 W 9th Street,
San Pedro, California |
| Zip: | 90731 |
| Phone Number: | 310-833-2575 |
| Fax Number: | 310-832-2531 |
Patients can reach F D M Exclusive Image Inc at
891 W 9th St, San Pedro, California or can
call on customer care at 310-833-2575.
Comments/ Reviews:
Read all the reviews posted for F D M Exclusive Image Inc below. You may also share your own experience with F D M Exclusive Image Inc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.