Organization Active NPI

Century Pharmacy Inc

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1073978458
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY34252 Issued in CA
Legal business name
CENTURY PHARMACY INC
Practice address
11870 Santa Monica Blvd Ste 108
Los Angeles, CA 90025-2280
Phone
(310) 473-1568
Fax
(310) 820-4451
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Joseph Amin
Title
Owner, Ceo, Ao
Phone
(310) 473-1568

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY34252 CA Primary

Addresses

Primary practice location

11870 Santa Monica Blvd Ste 108
Los Angeles, CA 90025-2280

Mailing address

11870 Santa Monica Blvd Ste 108
Los Angeles, CA 90025-2280
Phone (310) 473-1568

Other identifiers 2

IdentifierTypeStateIssuer
342520MedicaidCA
2156056OtherPK

Other names 1

  • Century Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Century Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1073978458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11870 SANTA MONICA BLVD STE 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252280",
            "telephone_number": "310-473-1568",
            "fax_number": "310-820-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11870 SANTA MONICA BLVD STE 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252280",
            "telephone_number": "310-473-1568",
            "fax_number": "310-820-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER, CEO, AO",
        "authorized_official_telephone_number": "310-473-1568"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY34252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342520",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2156056",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Century 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 Apr 14, 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.