Shoreline Pharmaceuticals Inc

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

PHY51832 Issued in CA

Legal business name

SHORELINE PHARMACEUTICALS INC

Practice address

16530 Ventura Blvd Ste 610
Encino, CA 91436-5042

Phone

(310) 464-9170

Fax

(310) 464-9171

NPI assigned

Apr 26, 2012

Organization subpart

No

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

Authorized official

Name

Matthew Walk

Title

President

Phone

(310) 464-9170

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Shoreline Pharmaceuticals, Inc. Doing business as

Locations

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1124386123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18375 VENTURA BLVD STE 501",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564218",
            "telephone_number": "310-464-9170",
            "fax_number": "310-464-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16530 VENTURA BLVD STE 610",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914365042",
            "telephone_number": "310-464-9170",
            "fax_number": "310-464-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE PHARMACEUTICALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "WALK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-464-9170"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "PHY51832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136134",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline Pharmaceuticals, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellen Shirman, PSY.D.
• Shirzad a. Abrams, M.D., Inc.
• Hovhanness Ivan Shnorhokian, D.M.D.
• Emmanuel Adeyanju Shodipe
• Courtney Shore, IMF
• Zachary Short
• Yael Shraga, LMFT
• Shubha M Jain MD Inc
• George Reese Shull, DPT
• Peter Rees Shulman, M.D.

• Specialty Pharmacy in Encino, CA
• Providers in Encino, CA by specialty
• Specialty Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.