Organization Active NPI

Greglaur Intl Inc

  • Community/Retail Pharmacy
  • Inglewood, CA
National Provider Identifier
1124167176
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY37866 Issued in CA
Legal business name
GREGLAUR INTL INC
Practice address
336 E Hillcrest Blvd
Inglewood, CA 90301-2414
Phone
(310) 677-8181
Fax
(310) 677-5842
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Evanrand Cooper, PHARMD
Title
Owner
Phone
(310) 677-8181

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY37866 CA Primary

Addresses

Primary practice location

336 E Hillcrest Blvd
Inglewood, CA 90301-2414

Mailing address

336 E Hillcrest Blvd
Inglewood, CA 90301-2414
Phone (310) 677-8181

Other identifiers 2

IdentifierTypeStateIssuer
0573736OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHA378660MedicaidCA

Other names 1

  • SPAULDINGS RX PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1124167176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 E HILLCREST BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012414",
            "telephone_number": "310-677-8181",
            "fax_number": "310-677-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 E HILLCREST BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012414",
            "telephone_number": "310-677-8181",
            "fax_number": "310-677-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGLAUR INTL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "EVANRAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-677-8181",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY37866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0573736",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA378660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPAULDINGS RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.