Organization Active NPI

Shiloh Family Pharmacy,Inc.

Doing business as shiloh family pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1083609432
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 51776 Issued in CA
Legal business name
SHILOH FAMILY PHARMACY,INC.
Doing business as
shiloh family pharmacy
Practice address
5551 Hollywood Blvd
Space a
Los Angeles, CA 90028
Phone
(323) 536-9575
Fax
(323) 536-9576
NPI assigned
Sep 13, 2005
Last updated
Apr 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Mrs. Diana Aronson
Title
President
Phone
(323) 536-9575

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY 51776 CA
Community/Retail Pharmacy 3336C0003X PHY 51776 CA Primary

Addresses

Primary practice location

5551 Hollywood Blvd
Space a
Los Angeles, CA 90028

Mailing address

5551 Hollywood Blvd
Space a
Los Angeles, CA 90028
Phone (323) 536-9575

Other identifiers 4

IdentifierTypeStateIssuer
PHY 51776OtherCACALIFORNIA STATE BOARD OF PHARMACY PERMIT
05-52112OtherCANCPDP NUMBER
1083609432OtherCANPI
1083609432MedicaidCA

Other names 1

  • shiloh family pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5551 Hollywood Blvd
Los Angeles, CA 90028
Phone (323) 536-9575

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1083609432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 HOLLYWOOD BLVD",
            "address_2": "SPACE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90028",
            "telephone_number": "323-536-9575",
            "fax_number": "323-536-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 HOLLYWOOD BLVD",
            "address_2": "SPACE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90028",
            "telephone_number": "323-536-9575",
            "fax_number": "323-536-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH FAMILY PHARMACY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "ARONSON",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-536-9575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 51776",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 51776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY PERMIT",
            "identifier": "PHY 51776",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "05-52112",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083609432",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083609432",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "shiloh family 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 27, 2017; 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.