Active NPI
Healthmed Pharmaceutical Inc
- Long Term Care Pharmacy
- Inglewood, CA
National Provider Identifier
1164411518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 54585
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2128694 | Other | PK |
Other names 1
- Specialist Medical Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170125002858 | CA | Part B Supplier - Pharmacy | 6305128414 | Practice locations: Inglewood, CA |
National Provider Directory
National Provider DirectoryLocations
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.