Active NPI
Century Pharmacy Inc
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1073978458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY34252
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342520 | Medicaid | CA | |
| 2156056 | Other | PK |
Other names 1
- Century Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Century Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Los Angeles, CA
- NPI 1851441166
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.