Organization Active NPI

LGJL Inc

  • Pharmacist
  • Santa Monica, CA
National Provider Identifier
1235284977
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH23118 Issued in CA
Legal business name
LGJL INC
Doing business as
Patton's Pharmacy
Practice address
734 Montana Ave
Santa Monica, CA 90403
Phone
(310) 451-1414
Fax
(310) 458-5994
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Paul A Leoni, PHARM D
Title
Pharm D
Phone
(310) 451-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X RPH23118 CA Primary

Addresses

Primary practice location

734 Montana Ave
Santa Monica, CA 90403

Mailing address

734 Montana Ave
Santa Monica, CA 90403
Phone (310) 451-1414

Other identifiers 3

IdentifierTypeStateIssuer
0500733OtherNABP
18675651OtherCARESAVE
A216940MedicaidCA

Other names 1

  • Patton's Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1235284977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 MONTANA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-451-1414",
            "fax_number": "310-458-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 MONTANA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-451-1414",
            "fax_number": "310-458-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGJL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "LEONI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARM D",
        "authorized_official_telephone_number": "310-451-1414",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH23118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0500733",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESAVE",
            "identifier": "18675651",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A216940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patton's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.