Robertson Specialty Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

53280 Issued in CA

Legal business name

ROBERTSON SPECIALTY PHARMACY INC

Practice address

1700 S Robertson Blvd
Los Angeles, CA 90035-4316

Phone

(424) 258-6721

Fax

(424) 258-6729

NPI assigned

Apr 22, 2015

Organization subpart

No

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

Authorized official

Name

Babak EghbaliNPI 1306289947

Title

Pharmacist

Phone

(424) 258-6721

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Robertson Specialty Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Babak Eghbali, PHARMD

  • Pharmacist
  • Los Angeles, CA
  • NPI 1306289947
  NPD Authorized official

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1124415609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S ROBERTSON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354316",
            "telephone_number": "424-258-6721",
            "fax_number": "424-258-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S ROBERTSON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354316",
            "telephone_number": "424-258-6721",
            "fax_number": "424-258-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTSON SPECIALTY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "EGHBALI",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "424-258-6721"
    },
    "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": "53280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151394",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robertson Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Robertson Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamika Tamara Roberts
• Tatiana Roberts
• Terese Judith Roberts, LCSW
• Wendy Mann Roberts, M.D.
• Robertson Optometry, PC
• Robertson Surgery Center LLC
• Katharine Robertson-Pfeffer, LMFT
• Ebony Dawn Robertson-Reed, MSW
• Andrea Tinile Robertson
• Bianca Marie Robertson, MD

• 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 Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.