Vernon J Knudson

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PHY 19085 Issued in CA

Legal business name

VERNON J KNUDSON

Doing business as

Axminster Pharmacy

Practice address

4324 W Slauson Ave
Los Angeles, CA 90043-2808

Phone

(323) 294-7153

Fax

(323) 294-7155

NPI assigned

May 21, 2012

Organization subpart

No

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

Authorized official

Name

Vernon J Knudson

Title

Owner

Phone

(323) 294-7153

Specialties & licenses 1

Addresses

Other names 1

• Axminster Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1023378411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 W SLAUSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432808",
            "telephone_number": "323-294-7153",
            "fax_number": "323-294-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 W SLAUSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432808",
            "telephone_number": "323-294-7153",
            "fax_number": "323-294-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON J KNUDSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "KNUDSON",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-294-7153"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY 19085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axminster Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vermontcare Center
• Sarah Elizabeth Vermuele, DC
• Vernon Central Botica Pharmacy Inc
• Vernon Convalescent Hospital
• Vernon Healthcare Center, LLC
• Vernon Medical Group Inc
• Alyssa Briana Vernon, FNP-C
• Carol W. Vernon, LCSW
• Crystal Vernon, N/A
• Elizabeth Chebra Vernon, DPT

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.