Sepulveda Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SEPULVEDA PHARMACY INC.

Practice address

4406 Sepulveda Blvd
Culver City, CA 90230-4801

Phone

(310) 702-9037

NPI assigned

Sep 24, 2021

Organization subpart

No

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

Authorized official

Name

Paulette Azad, PHARM DNPI 1770254161

Title

Pharmacist in Charge

Phone

(310) 702-9037

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Paulette Azad

  • Pharmacist
  • Culver City, CA
  • NPI 1770254161
  NPD Authorized official

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1013688449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 SEPULVEDA BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 SEPULVEDA BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304801",
            "telephone_number": "310-702-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPULVEDA PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "AZAD",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "310-702-9037",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Michael Seldon, D.D.S.
• Matthew Lee Seligson
• Senior Care of West L.a. Incorporated
• Chungyun Seo, MSW TRAINEE
• Stephan Sepernia, MA IN CLINICAL PSYCH
• Diana Carolina Servellon
• Kezia Setiawan
• John Seura
• Tyisha Lynn Seymour, M.D.
• SG Pharmacy Inc

• Community/Retail Pharmacy in Culver City, CA
• Providers in Culver City, 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 Sep 24, 2021; 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.