Ben Friedman, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY44839 Issued in CA

Legal business name

BEN FRIEDMAN, INC

Doing business as

Boulevard Pharmacy

Practice address

10771 Sherman Way
Sun Valley, CA 91352-5155

Phone

(818) 503-8806

Fax

(818) 503-8826

NPI assigned

Jun 30, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ben Friedman, R.PH

Title

Owner

Phone

(818) 262-6222

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Boulevard Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1235168501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10771 SHERMAN WAY",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913525155",
            "telephone_number": "818-503-8806",
            "fax_number": "818-503-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10771 SHERMAN WAY",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913525155",
            "telephone_number": "818-503-8806",
            "fax_number": "818-503-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN FRIEDMAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-262-6222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY44839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA448390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "0572974",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulevard Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Sun Valley, CA
• Providers in Sun Valley, CA by specialty
• Community/Retail Pharmacy in California

• 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.

Verify at the official NPI Registry.