Active NPI
Ellen Jacobowitz, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- West Hollywood, CA
National Provider Identifier
1144873217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 37213
- Practice address
- 8607 Santa Monica Blvd
West Hollywood, CA 90069-4109 - Phone
- (310) 659-9810
- Fax
- (310) 659-4985
- NPI assigned
- Jul 18, 2019
- Last updated
- Jul 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 37213 | CA | Primary |
Addresses
Primary practice location
8607 Santa Monica Blvd
West Hollywood, CA 90069-4109
Mailing address
1473 Cardiff Ave
Los Angeles, CA 90035-3229
Phone (310) 776-0874
Other names 1
- Ellen Rosenberg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare Pharmacy LLC | Current | Accepting new patients | |
| Procare Pharmacy, LLC. | Past | Accepting new patients |
Locations
8607 Santa Monica Blvd
West Hollywood, CA 90069
Phone (310) 659-9810
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1144873217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1473 CARDIFF AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900353229",
"telephone_number": "310-776-0874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8607 SANTA MONICA BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900694109",
"telephone_number": "310-659-9810",
"fax_number": "310-659-4985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBOWITZ",
"first_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-18",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "37213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLEN",
"last_name": "ROSENBERG",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.