Active NPI
Brea Hills Pharmacy
- Community/Retail Pharmacy
- Inglewood, CA
National Provider Identifier
1184796963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BREA HILLS PHARMACY
- Practice address
- 1101 N la Brea Ave
Inglewood, CA 90302-1212 - Phone
- (310) 412-6088
- Fax
- (310) 412-3050
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. U Chika Okoro, PHARM D
- Title
- Owner
- Phone
- (310) 412-6088
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PHY37138 | CA | |
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1101 N la Brea Ave
Inglewood, CA 90302-1212
Mailing address
1101 N la Brea Ave
Inglewood, CA 90302-1212
Phone (310) 412-6088
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0522638 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| PHA371380 | Medicaid | CA |
Other names 1
- MEDICINE SHOPPE #1135
National Provider Directory
National Provider DirectoryLocations
1101 N La Brea Ave
Inglewood, CA 90302
Phone (310) 412-6088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1184796963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 N LA BREA AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903021212",
"telephone_number": "310-412-6088",
"fax_number": "310-412-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N LA BREA AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903021212",
"telephone_number": "310-412-6088",
"fax_number": "310-412-3050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREA HILLS PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "OKORO",
"authorized_official_first_name": "U CHIKA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-412-6088",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "PHY37138",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0522638",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA371380",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDICINE SHOPPE #1135",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.