University Of Southern California
Community/Retail Pharmacy
1510 San Pablo St, Ste 144, Los Angeles
California, 90033-5320
323-442-5770 323-442-5970
University Of Southern California is an authorized DME supplier for medicare equipments and products.
University Of Southern California is a Community/Retail Pharmacy in Los Angeles, California. It is located at 1510 San Pablo St, Ste 144, Los Angeles and it's customer support contact number is 323-442-5770. The authorized person of University Of Southern California is Michael Rudolph, RPH who is Executive Director of the pharmacy and his contact number is 323-442-1354. Active license number of University Of Southern California is PHY37195 for Community/Retail Pharmacy in California. University Of Southern California accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
University Of Southern California 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:
University Of Southern California 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: | University Of Southern California |
| Type: | Community/Retail Pharmacy |
| Location: | 1510 San Pablo St, Ste 144, Los Angeles, California, 90033-5320 |
| Phone: | 323-442-5770 |
| Fax: | 323-442-5970 |
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 Rudolph |
| Credentials: | RPH |
| Position: | Executive Director |
| Contact Number: | 323-442-1354 |
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: | 1679676639 |
| NPI Enumeration Date: | 06 Sep, 2006 |
| NPI Last Update On: | 19 Jul, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for University Of Southern California are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHY37195 | California | Primary | |
| Pharmacy | | | Secondary | |
| Compounding 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 |
| 1996506 | Other | | Pk |
| 1679676639 | Medicaid | California | |
Medicare Enrollment:
University Of Southern California 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 |
| 5597658633 | O20100930069124 | University Of Southern California | 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: | 1510 San Pablo St, Ste 144 Los Angeles, California |
| Zip: | 90033-4604 |
| Phone Number: | 323-442-5770 |
| Fax Number: | 323-442-5970 |
Patients can reach University Of Southern California at
1510 San Pablo St, Ste 144, Los Angeles, California or can
call on customer care at 323-442-5770.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.