Imanoel Pharmacy Inc is an authorized DME supplier for medicare equipments and products.
Imanoel Pharmacy Inc is a Community/Retail Pharmacy in Los Angeles, California. It is located at 357 N Fairfax Ave, Los Angeles and it's customer support contact number is 323-653-8692. The authorized person of Imanoel Pharmacy Inc is Michael Imanoel who is President of the pharmacy and his contact number is 323-653-8692. Active license number of Imanoel Pharmacy Inc is PHY44317 for Community/Retail Pharmacy in California. Imanoel Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Imanoel Pharmacy 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:
Imanoel Pharmacy 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:
Imanoel Pharmacy Inc
Type:
Community/Retail Pharmacy
Location:
357 N Fairfax Ave, Los Angeles, California, 90036-2108
Phone:
323-653-8692
Fax:
323-653-3358
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:
Michael Imanoel
Position:
President
Contact Number:
323-653-8692
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:
1720017874
NPI Enumeration Date:
01 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 Imanoel Pharmacy Inc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PHY44317
California
Primary
Durable Medical Equipment & Medical Supplies
Secondary
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
PHY44317
Medicaid
California
2043521
Other
Pk
Medicare Enrollment:
Imanoel Pharmacy 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
1658377692
O20070402000495
Imanoel Pharmacy Inc.
PART B SUPPLIER - OTHER
1658377692
O20100930031831
Imanoel Pharmacy Inc.
DME SUPPLIER - PHARMACY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
357 N Fairfax Ave, Los Angeles, California
Zip:
90036-2108
Phone Number:
323-653-8692
Fax Number:
323-653-3358
Patients can reach Imanoel Pharmacy Inc at 357 N Fairfax Ave, Los Angeles, California or can call on customer care at 323-653-8692.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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