Organization Active NPI

Grovetown Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1023406428
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GROVETOWN PHARMACY, INC.
Practice address
8640 W 3Rd St
Suite 100
Los Angeles, CA 90048-3384
Phone
(310) 299-0808
Fax
(310) 299-0420
NPI assigned
Jan 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Sogol Haronian, PHARM.D.NPI 1598047250
Title
Owner
Phone
(310) 299-0808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

8640 W 3Rd St
Suite 100
Los Angeles, CA 90048-3384

Mailing address

8640 W 3Rd St
Suite 100
Los Angeles, CA 90048-3384
Phone (310) 299-0808

Other names 2

  • Biomed Pharmacy Solutions Doing business as
  • Joseph's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211209001078 CA Part B Supplier - Pharmacy 4789074527 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

8640 W 3rd St
Ste 100
Los Angeles, CA 90048
Phone (310) 299-0808

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1023406428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8640 W 3RD ST",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483384",
            "telephone_number": "310-299-0808",
            "fax_number": "310-299-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 W 3RD ST",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483384",
            "telephone_number": "310-299-0808",
            "fax_number": "310-299-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVETOWN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "HARONIAN",
        "authorized_official_first_name": "SOGOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-299-0808",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Biomed Pharmacy Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joseph's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.