Active NPI
Westchester Pharmacy Inc
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1205930252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY55569
- Legal business name
- WESTCHESTER PHARMACY INC
- Practice address
- 8930 S Sepulveda Blvd
Suite 103
Los Angeles, CA 90045-3606 - Phone
- (310) 670-3463
- Fax
- (310) 670-4038
- NPI assigned
- Sep 12, 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
- Erin Marten, RPH
- Title
- Owner/Pic/Ao
- Phone
- (310) 670-3463
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY55569 | CA | Primary |
Addresses
Primary practice location
8930 S Sepulveda Blvd
Suite 103
Los Angeles, CA 90045-3606
Mailing address
8930 S Sepulveda Blvd
Suite 103
Los Angeles, CA 90045-3606
Phone (310) 670-3463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1997522 | Other | PK |
Other names 1
- WESTCHESTER PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201106000142 | CA | Part B Supplier - Pharmacy | 5597175398 | Practice locations: Los Angeles, CA |
| O20240219002306 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5597175398 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider DirectoryLocations
8930 S Sepulveda Blvd
Ste 103
Los Angeles, CA 90045
Phone (310) 670-3463
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Los Angeles, CA
- NPI 1750765822
-
- Pharmacist
- Los Angeles, CA
- NPI 1740322981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492646400000",
"number": "1205930252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8930 S SEPULVEDA BLVD",
"address_2": "SUITE 103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453606",
"telephone_number": "310-670-3463",
"fax_number": "310-670-4038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8930 S SEPULVEDA BLVD",
"address_2": "SUITE 103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453606",
"telephone_number": "310-670-3463",
"fax_number": "310-670-4038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTCHESTER PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2017-04-20",
"status": "A",
"authorized_official_last_name": "MARTEN",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "OWNER/PIC/AO",
"authorized_official_telephone_number": "310-670-3463",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY55569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "1997522",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WESTCHESTER PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 20, 2017; 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.