Active NPI
Apothecary Shop of Los Angeles Inc
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1174693253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY 49836
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CN874A | Other | MEDICARE PART B MASS IMMUNIZATION ROSTER BILLER | |
| 0519263 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| PHA165980 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.