El Camino Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 54628 Issued in CA

Legal business name

EL CAMINO PHARMACY, INC.

Doing business as

El Camino Pharmacy

Practice address

10940 Victory Blvd
North Hollywood, CA 91606-3725

Phone

(818) 763-4334

Fax

(818) 763-4610

NPI assigned

Jan 23, 2008

Last updated

Oct 3, 2016By 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

Janice Chang, PHARM.D.NPI 1669921508

Title

Pic/ Ceo/ Cfo

Phone

(818) 763-4334

Specialties & licenses 1

Addresses

Other names 1

• El Camino Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janice Chang, PHARM.D.

  • Pharmacist
  • North Hollywood, CA
  • NPI 1669921508
  NPD Authorized official

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1235316068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10940 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063725",
            "telephone_number": "818-763-4334",
            "fax_number": "818-763-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10940 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063725",
            "telephone_number": "818-763-4334",
            "fax_number": "818-763-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CAMINO PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "PIC/ CEO/ CFO",
        "authorized_official_telephone_number": "818-763-4334",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 54628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Camino Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in North Hollywood, CA
• Providers in North Hollywood, 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 Oct 3, 2016; 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.