Organization Active NPI

General Home Pharmacy Inc

  • Specialty Pharmacy
  • Westlake Village, CA
National Provider Identifier
1174569024
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PHY45868 Issued in CA
Legal business name
GENERAL HOME PHARMACY INC
Practice address
755 Lakefield Rd
Ste D
Westlake Village, CA 91361-2622
Phone
(805) 777-7800
Fax
(888) 414-0666
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Authorized official

Name
Kambiz Yadidi
Title
President
Phone
(805) 777-7800

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X PHY45868 CA Primary

Addresses

Primary practice location

755 Lakefield Rd
Ste D
Westlake Village, CA 91361-2622

Mailing address

4607 Lakeview Canyon Rd
# 584
Westlake Village, CA 91361-4028
Phone (805) 777-7800

Other identifiers 1

IdentifierTypeStateIssuer
0585919OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • GENERAL HOME PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1174569024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 LAKEVIEW CANYON RD",
            "address_2": "# 584",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614028",
            "telephone_number": "805-777-7800",
            "fax_number": "888-414-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 LAKEFIELD RD",
            "address_2": "STE D",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612622",
            "telephone_number": "805-777-7800",
            "fax_number": "888-414-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL HOME PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "YADIDI",
        "authorized_official_first_name": "KAMBIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-777-7800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "PHY45868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0585919",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENERAL HOME PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.