White Cross Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY 41289 Issued in CA

Legal business name

WHITE CROSS PHARMACY

Practice address

1412 W Glenoaks Blvd
Suite E
Glendale, CA 91201-1980

Phone

(888) 228-0555

Fax

(818) 986-1599

NPI assigned

Jul 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mart Roht, RPH

Title

Owner

Phone

(888) 228-0555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WHITE CROSS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1235338690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 W. GLENOAKS BLVD",
            "address_2": "SUITE E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011980",
            "telephone_number": "888-228-0555",
            "fax_number": "818-986-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 W GLENOAKS BLVD",
            "address_2": "SUITE E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011980",
            "telephone_number": "888-228-0555",
            "fax_number": "818-986-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE CROSS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "ROHT",
        "authorized_official_first_name": "MART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-228-0555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 41289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "PHY 41289",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITE CROSS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Glendale, CA
• Providers in Glendale, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.