Organization Active NPI

Fobi Comprehensive Pharmacy, Inc

  • Long Term Care Pharmacy
  • Paramount, CA
National Provider Identifier
1184621385
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FOBI COMPREHENSIVE PHARMACY, INC
Practice address
7922 Rosecrans Ave Ste P-2
Paramount, CA 90723-6009
Phone
(562) 630-5700
Fax
(562) 630-5705
NPI assigned
Jul 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Dr. William W. Fobi, PHARM.DNPI 1851337406
Title
President General Manager
Phone
(562) 630-5700

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY 47045 CA
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

7922 Rosecrans Ave Ste P-2
Paramount, CA 90723-6009

Mailing address

7922 Rosecrans Ave Ste P-2
Paramount, CA 90723-6009
Phone (562) 630-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170210001431 CA DME Supplier - Pharmacy 7012290380 Practice locations: Paramount, CA
O20251231001779 CA Part B Supplier - Pharmacy 7012290380 Practice locations: Paramount, CA

National Provider Directory

National Provider Directory
Tax ID family
Fobi Comprehensive Pharmacy2 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.

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": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1184621385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7922 ROSECRANS AVE STE P-2",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907236009",
            "telephone_number": "562-630-5700",
            "fax_number": "562-630-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7922 ROSECRANS AVE STE P-2",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907236009",
            "telephone_number": "562-630-5700",
            "fax_number": "562-630-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOBI COMPREHENSIVE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "FOBI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT  GENERAL MANAGER",
        "authorized_official_telephone_number": "562-630-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 47045",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.

Verify at the official NPI Registry.