Organization Active NPI

Roxsan Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Beverly Hills, CA
National Provider Identifier
1053788786
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY52506 Issued in CA
Legal business name
ROXSAN PHARMACY, INC.
Practice address
465 N Roxbury Dr
Beverly Hills, CA 90210-4206
Phone
(310) 273-1644
Fax
(310) 276-4152
NPI assigned
Aug 28, 2015
Last updated
Mar 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Ms. Joseph Michael Redmond
Title
President/Ceo
Phone
(310) 273-1644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY52506 CA Primary

Addresses

Primary practice location

465 N Roxbury Dr
Beverly Hills, CA 90210-4206

Mailing address

465 N Roxbury Dr
Beverly Hills, CA 90210-4206
Phone (310) 273-1644

Other identifiers 1

IdentifierTypeStateIssuer
PHA382970MedicaidCA

National Provider Directory

National Provider Directory

Locations

465 N Roxbury Dr
Beverly Hills, CA 90210
Phone (310) 273-1644

465 N Roxbury Dr
Ste 102
Beverly Hills, CA 90210
Phone (310) 273-1644

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1053788786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104206",
            "telephone_number": "310-273-1644",
            "fax_number": "310-276-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104206",
            "telephone_number": "310-273-1644",
            "fax_number": "310-276-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXSAN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-273-1644",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY52506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA382970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.