Active NPI
Shiloh Family Pharmacy,Inc.
Doing business as shiloh family pharmacy
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1083609432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY 51776
- 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, 2017
- 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. Diana Aronson
- Title
- President
- Phone
- (323) 536-9575
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY 51776 | Other | CA | CALIFORNIA STATE BOARD OF PHARMACY PERMIT |
| 05-52112 | Other | CA | NCPDP NUMBER |
| 1083609432 | Other | CA | NPI |
| 1083609432 | Medicaid | CA |
Other names 1
- shiloh family pharmacy
National Provider Directory
National Provider DirectoryLocations
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.