Pramukh Management Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY48668 Issued in CA

Legal business name

PRAMUKH MANAGEMENT INC

Doing business as

dba VILLAGE PHARMACY

Practice address

1708 S Catalina Ave
Redondo Beach, CA 90277-5504

Phone

(310) 540-4441

Fax

(310) 540-5274

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Rakesh Patel

Title

Partner

Phone

(310) 540-4441

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• dba VILLAGE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1093726689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 S CATALINA AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775504",
            "telephone_number": "310-540-4441",
            "fax_number": "310-540-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 S CATALINA AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775504",
            "telephone_number": "310-540-4441",
            "fax_number": "310-540-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAMUKH MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-540-4441"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY48668",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0573673",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA222400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.