Organization Active NPI

Healthmed Pharmaceutical Inc

  • Long Term Care Pharmacy
  • Inglewood, CA
National Provider Identifier
1164411518
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
54585 Issued in CA
Legal business name
HEALTHMED PHARMACEUTICAL INC
Practice address
421 E Beach Ave Ste a
Inglewood, CA 90302-3103
Phone
(310) 674-4432
Fax
(310) 672-1069
NPI assigned
Oct 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Erwin Roz
Title
President
Phone
(323) 273-9829

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Long Term Care Pharmacy 3336L0003X 54585 CA Primary

Addresses

Primary practice location

421 E Beach Ave Ste a
Inglewood, CA 90302-3103

Mailing address

421 E Beach Ave Ste a
Inglewood, CA 90302-3103
Phone (310) 674-4432

Other identifiers 1

IdentifierTypeStateIssuer
2128694OtherPK

Other names 1

  • Specialist Medical Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170125002858 CA Part B Supplier - Pharmacy 6305128414 Practice locations: Inglewood, CA

National Provider Directory

National Provider Directory

Locations

421 E Beach Ave
Ste A
Inglewood, CA 90302
Phone (310) 674-4432

421 E Beach Ave
Inglewood, CA 90302
Phone (310) 674-4432

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1164411518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E BEACH AVE STE A",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903023103",
            "telephone_number": "310-674-4432",
            "fax_number": "310-672-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E BEACH AVE STE A",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903023103",
            "telephone_number": "310-674-4432",
            "fax_number": "310-672-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHMED PHARMACEUTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "ROZ",
        "authorized_official_first_name": "ERWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-273-9829"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "54585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128694",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialist Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.