Organization Active NPI

Apothecary Shop of Los Angeles Inc

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1174693253
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 49836 Issued in CA
Legal business name
APOTHECARY SHOP OF LOS ANGELES INC
Practice address
325 N Larchmont Blvd
Los Angeles, CA 90004-3011
Phone
(323) 466-1414
Fax
(323) 466-1333
NPI assigned
Nov 8, 2006
Organization subpart
Yes
Parent organization
APOTHECARY HOLDINGS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
John D Musil, PHARMD, RPH
Title
Director/Ceo
Phone
(623) 434-3657

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY 49836 CA Primary
Compounding Pharmacy 3336C0004X PHY 49836 CA
Specialty Pharmacy 3336S0011X PHY 49836 CA

Addresses

Primary practice location

325 N Larchmont Blvd
Los Angeles, CA 90004-3011

Mailing address

1606 W Whispering Wind Dr
Phoenix, AZ 85085-0678
Phone (623) 434-3659

Other identifiers 3

IdentifierTypeStateIssuer
CN874AOtherMEDICARE PART B MASS IMMUNIZATION ROSTER BILLER
0519263OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PHA165980MedicaidCA

National Provider Directory

National Provider Directory

Locations

1606 W Whispering Wind Dr
Ste 2
Phoenix, AZ 85085

325 N Larchmont Blvd
Los Angeles, CA 90004
Phone (323) 466-1414

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1174693253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 W WHISPERING WIND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850678",
            "telephone_number": "623-434-3659",
            "fax_number": "623-434-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N LARCHMONT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043011",
            "telephone_number": "323-466-1414",
            "fax_number": "323-466-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECARY SHOP OF LOS ANGELES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APOTHECARY HOLDINGS INC",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "MUSIL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "623-434-3657",
        "authorized_official_credential": "PHARMD, RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 49836",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHY 49836",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "PHY 49836",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B MASS IMMUNIZATION ROSTER BILLER",
            "identifier": "CN874A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0519263",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA165980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.