Organization Active NPI

Ascot Pharmacy Corp

Doing business as Bettys Pharmacy

  • Community/Retail Pharmacy
  • Santa Monica, CA
National Provider Identifier
1073857736
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 51189 Issued in CA
Legal business name
ASCOT PHARMACY CORP
Doing business as
Bettys Pharmacy
Practice address
1622 Wilshire Blvd
Santa Monica, CA 90403-5508
Phone
(424) 268-4904
Fax
(424) 268-4914
NPI assigned
Nov 19, 2012
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mrs. Sudha Rai, RPH
Title
President/Pic
Phone
(424) 268-4904

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY 51189 CA
Community/Retail Pharmacy 3336C0003X PHY 51189 CA Primary

Addresses

Primary practice location

1622 Wilshire Blvd
Santa Monica, CA 90403-5508

Mailing address

1622 Wilshire Blvd
Santa Monica, CA 90403-5508
Phone (424) 268-4904

Other identifiers 2

IdentifierTypeStateIssuer
PHY 51189OtherCABOARD OF PHARMACY RETAIL PERMIT
56-45859OtherCANCPDP PROVIDER ID

Other names 1

  • BETTYS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1622 Wilshire Blvd
Santa Monica, CA 90403
Phone (424) 268-4904

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1073857736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035508",
            "telephone_number": "424-268-4904",
            "fax_number": "424-268-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035508",
            "telephone_number": "424-268-4904",
            "fax_number": "424-268-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCOT PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RAI",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "424-268-4904",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 51189",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 51189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY RETAIL PERMIT",
            "identifier": "PHY 51189",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER ID",
            "identifier": "56-45859",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BETTYS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.