Wilbur Family Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

29380 Issued in CA

Legal business name

WILBUR FAMILY PHARMACY

Practice address

5620 Wilbur Ave
100
Tarzana, CA 91356-1351

Phone

(818) 342-6520

Fax

(818) 342-6523

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Elliott P Seideman, RPH

Title

Owner

Phone

(818) 342-6520

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1083768352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 WILBUR AVE",
            "address_2": "100",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561351",
            "telephone_number": "818-342-6520",
            "fax_number": "818-342-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 WILBUR AVE",
            "address_2": "100",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561351",
            "telephone_number": "818-342-6520",
            "fax_number": "818-342-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBUR FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "SEIDEMAN",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-342-6520",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "29380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY226840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Whitmyer
• Megan I Wiedman, RBT
• Michael A Wienir, MD
• Mahisha Wiggins
• Maria Guadalupe Wiggins
• Wilbur RX Inc
• Michelle Wilcox
• James W Williams
• Lynn Alexander Williams, BCBA
• Oshikeya V Williams

• Pharmacy in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.