Active NPI
Peter F Takla, PHARMACIST
- Pharmacist
- Bellflower, CA
National Provider Identifier
1114502648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH71996
- Practice address
- 17620 Bellflower Blvd Ste B104
Bellflower, CA 90706-8001 - Phone
- (562) 804-0101
- Fax
- (562) 804-0099
- NPI assigned
- Mar 16, 2021
- Last updated
- Mar 16, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH71996 | CA | Primary |
Addresses
Primary practice location
17620 Bellflower Blvd Ste B104
Bellflower, CA 90706-8001
Mailing address
17620 Bellflower Blvd Ste B104
Bellflower, CA 90706-8001
Phone (562) 804-0101
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 |
|---|---|---|---|
| RPH71996 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melmark, Inc | Current | Accepting new patients |
Locations
17620 Bellflower Blvd
Ste B104
Bellflower, CA 90706
Phone (562) 804-0101
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1114502648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17620 BELLFLOWER BLVD STE B104",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907068001",
"telephone_number": "562-804-0101",
"fax_number": "562-804-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17620 BELLFLOWER BLVD STE B104",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907068001",
"telephone_number": "562-804-0101",
"fax_number": "562-804-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKLA",
"first_name": "PETER",
"middle_name": "F",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-16",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH71996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.