Westside Medical Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY51987 Issued in CA

Legal business name

WESTSIDE MEDICAL PHARMACY CORP

Practice address

1360 Westwood Blvd Ste C
Los Angeles, CA 90024-4919

Phone

(310) 441-1200

Fax

(310) 441-1220

NPI assigned

Jun 1, 2015

Organization subpart

No

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

Authorized official

Name

Ali Gandji

Title

President

Phone

(310) 441-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Westside Medical Pharmacy Doing business as

Locations

Practitioners 1

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

• Sevil Katouzi, PHARMD

  • Pharmacist
  • Los Angeles, CA
  • NPI 1770057218
  NPD (past)

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1154701662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 WESTWOOD BLVD",
            "address_2": "SUITE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244919",
            "telephone_number": "310-441-1200",
            "fax_number": "310-479-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 WESTWOOD BLVD STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244919",
            "telephone_number": "310-441-1200",
            "fax_number": "310-441-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE MEDICAL PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "GANDJI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-441-1200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153009",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Westside Hospice Care, Inc.
• Westside Hospice Comfortcare Incorporation
• Westside Hospice,Inc.
• Westside Innovative School House, Inc.
• Westside Medical Center Inc
• Westside Multi-Specialty Medical Group, Inc.
• Westside Multispecialty Surgery Center, LP
• Westside Neurotherapeutics Inc
• Westside Neurotherapeutics, LLC.
• Westside Occupational Therapy Inc

• 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 Jun 3, 2016; 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.