Active NPI
Robert Michael Small, REGISTERED PHARMACIS
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1083973127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24709
- Practice address
- 200 Ucls Medical Plaza, Suite 135
Level One UCLA Medical Plaza Pharmacy
Los Angeles, CA 90095-6949 - Phone
- (310) 794-1176
- Fax
- (310) 794-1187
- NPI assigned
- May 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24709 | CA | Primary |
| Pharmacist | 183500000X | 138342-1701 | UT |
Addresses
Primary practice location
200 Ucls Medical Plaza, Suite 135
Level One UCLA Medical Plaza Pharmacy
Los Angeles, CA 90095-6949
Mailing address
200 Ucls Medical Plaza, Suite 135
Level One UCLA Medical Plaza Pharmacy
Los Angeles, CA 90095-6949
Phone (310) 794-1176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138342-1701 | UT | MD | Pharmacist |
| 24709 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336608000000",
"number": "1083973127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 UCLS MEDICAL PLAZA, SUITE 135",
"address_2": "LEVEL ONE UCLA MEDICAL PLAZA PHARMACY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900956949",
"telephone_number": "310-794-1176",
"fax_number": "310-794-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UCLS MEDICAL PLAZA, SUITE 135",
"address_2": "LEVEL ONE UCLA MEDICAL PLAZA PHARMACY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900956949",
"telephone_number": "310-794-1176",
"fax_number": "310-794-1187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "REGISTERED PHARMACIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-10",
"last_updated": "2012-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "24709",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "138342-1701",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.