Active NPI
Ascot Pharmacy Corp
Doing business as Bettys Pharmacy
- Community/Retail Pharmacy
- Santa Monica, CA
National Provider Identifier
1073857736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY 51189
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY 51189 | Other | CA | BOARD OF PHARMACY RETAIL PERMIT |
| 56-45859 | Other | CA | NCPDP PROVIDER ID |
Other names 1
- BETTYS PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.