Pico Square Pharmacy RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY50810 Issued in CA

Legal business name

PICO SQUARE PHARMACY RX INC

Doing business as

Pico Square Pharmacy

Practice address

2334 W Pico Blvd
Los Angeles, CA 90006-4002

Phone

(213) 385-0076

Fax

(213) 385-0087

NPI assigned

Jun 21, 2012

Last updated

Jul 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shahin Aghababashirazi, PHARM D

Title

President/Pic

Phone

(213) 385-0076

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PICO SQUARE PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sahar Sayani, PHARMACIST

  • Pharmacist
  • Los Angeles, CA
  • NPI 1205421252
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1013270339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064002",
            "telephone_number": "213-385-0076",
            "fax_number": "213-385-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064002",
            "telephone_number": "213-385-0076",
            "fax_number": "213-385-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICO SQUARE PHARMACY RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "AGHABABASHIRAZI",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "213-385-0076",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY50810",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETAIL PHARMACY PERMIT",
            "identifier": "PHY50810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PICO SQUARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pico Health Care Inc
• Pico Healthcare Inc
• Pico Medical Rents & Sells Inc
• Pico Union Women's Health Clinic
• Jeremy T Picon, CADC II
• Joseph Picon
• Vanessa Picon
• Jonathan Alonso Picos, LMFT

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.