Pharmacy of the Stars Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY46038 Issued in CA

Legal business name

PHARMACY OF THE STARS INC

Doing business as

Pharmacy Of The Stars

Practice address

1900 Avenue of the Stars
Suite A105
Los Angeles, CA 90067-4301

Phone

(310) 556-4682

Fax

(310) 556-4683

NPI assigned

Nov 23, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Hyun S Park, RPH

Title

Pharmacist

Phone

(310) 556-4682

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pharmacy Of The Stars Doing business as

Locations

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1144203167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 AVENUE OF THE STARS",
            "address_2": "SUITE A105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900674301",
            "telephone_number": "310-556-4682",
            "fax_number": "310-556-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 AVENUE OF THE STARS",
            "address_2": "SUITE A105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900674301",
            "telephone_number": "310-556-4682",
            "fax_number": "310-556-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY OF THE STARS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "HYUN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "310-556-4682",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY46038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA460380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy Of The Stars",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.