Organization Active NPI

Tilley Apothecaries Inc.

  • Community/Retail Pharmacy
  • Downey, CA
National Provider Identifier
1164536314
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY30655 Issued in CA
Legal business name
TILLEY APOTHECARIES INC.
Practice address
11411 Brookshire Ave
Suite #107
Downey, CA 90241-5003
Phone
(562) 923-1256
Fax
(562) 923-1847
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Mr. John E. Tilley, PHARMACISTNPI 1750702270
Title
President
Phone
(562) 862-8416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY30655 CA Primary

Addresses

Primary practice location

11411 Brookshire Ave
Suite #107
Downey, CA 90241-5003

Mailing address

11411 Brookshire Ave
Suite #107
Downey, CA 90241-5003
Phone (562) 923-1256

Other identifiers 1

IdentifierTypeStateIssuer
0527804OtherCANCPDP

Other names 1

  • Zweber Apothecary Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930097028 CA DME Supplier - Pharmacy 1355469354 Practice locations: Downey, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Zweber Apothecary11411 Brookshire Ave, Downey, CA 90241-5008(562) 923-1256 Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
986 Pharmacy 80282 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11411 Brookshire Ave
Ste 107
Downey, CA 90241
Phone (562) 923-1256

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1164536314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 BROOKSHIRE AVE",
            "address_2": "SUITE #107",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415003",
            "telephone_number": "562-923-1256",
            "fax_number": "562-923-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 BROOKSHIRE AVE",
            "address_2": "SUITE #107",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415003",
            "telephone_number": "562-923-1256",
            "fax_number": "562-923-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLEY APOTHECARIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-862-8416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY30655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0527804",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zweber Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.