Sanders Pharmaceuticals Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY50485 Issued in CA

Legal business name

SANDERS PHARMACEUTICALS INC

Practice address

10587 W Pico Blvd
Suite a
Los Angeles, CA 90064-2333

Phone

(310) 475-3541

Fax

(310) 474-3323

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Shery Eghtesadi, PHARM D

Title

Secretary/Pharmacist

Phone

(310) 475-3541

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• RANCHO PARK PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1124025432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 CASHIO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352805",
            "telephone_number": "310-475-3541",
            "fax_number": "310-474-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10587 W PICO BLVD",
            "address_2": "SUITE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642333",
            "telephone_number": "310-475-3541",
            "fax_number": "310-474-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS PHARMACEUTICALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "EGHTESADI",
        "authorized_official_first_name": "SHERY",
        "authorized_official_title_or_position": "SECRETARY/PHARMACIST",
        "authorized_official_telephone_number": "310-475-3541",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY50485",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50485",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHY 50485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "0512295",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "PHY 50485",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RANCHO PARK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linette M Sande Lopez, MD
• Sandee Wellness Center 2018, Inc
• Elizabeth Sander, MD
• Evan Sander, M.D.
• Tanya Sanderlin
• Antoinette Nichelle Sanders
• Bridgette Mitchell Sanders, LCSW, RPT-S
• Bryan Sanders
• Cary L Sanders
• Christopher Sanders

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.