Boulevard Pharmacy Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BOULEVARD PHARMACY INC

Practice address

8950 W Olympic Blvd Ste 103&104
Beverly Hills, CA 90211-3561

Phone

(310) 274-8080

NPI assigned

Aug 4, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Souren BasmadjianNPI 1689943623

Title

President

Phone

(818) 482-6793

Specialties & licenses 1

Addresses

Other names 1

• TreatMedNgo Other name

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Souren Basmadjian, RPH

  • Pharmacist
  • Lancaster, CA
  • NPI 1689943623
  NPD Authorized official
• Nilofar Behmanesh

  • Pharmacist
  • Beverly Hills, CA
  • NPI 1144795600
  NPD (past)
• Vida Afshani Hakimfar, PHARM D

  • Pharmacist
  • Beverly Hills, CA
  • NPI 1588908602
  NPD (past)
• Susan Virginia Massey

  • Surgical Oncology Physician
  • Beverly Hills, CA
  • NPI 1619486644
  NPD (past)
• Ann Park

  • Pharmacist
  • Beverly Hills, CA
  • NPI 1447919451
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501804800000",
    "number": "1003331612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 W OLYMPIC BLVD STE 103&104",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 W OLYMPIC BLVD STE 103&104",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113561",
            "telephone_number": "310-274-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "BASMADJIAN",
        "authorized_official_first_name": "SOUREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-482-6793"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TreatMedNgo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Phabillia Borja, PHYSICIAN
• Michael D. Borookhim, M.D.
• Richard Furman Borst, M.D.
• Shiva Hedvat Borukhim, D.D.S.
• Judilin Bosita
• Boulevard Pharmacy Inc
• Jeffrey Bourg, AMFT
• Julie Katherine Bourque, RN, BSN
• Bowman Medical Center for TMS, Inc
• Bowman Psychiatric, a Medical Corporation

• Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.