Beverly Glen Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY55866 Issued in CA

Legal business name

BEVERLY GLEN PHARMACY INC

Practice address

2946 N Beverly Glen Cir
Los Angeles, CA 90077-1724

Phone

(310) 475-0568

Fax

(310) 475-5478

NPI assigned

Sep 21, 2006

Last updated

Jan 19, 2021By 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

Adam Michael BurmanNPI 1255686481

Title

President

Phone

(310) 475-0568

Specialties & licenses 2

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Beverly Glen Pharmacy Inc

  dba Beverly Glen Pharmacy LTC

  • Long Term Care Pharmacy
  • Los Angeles, CA
  • NPI 1922805548
  NPPES parent name

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.

• Adam Michael Burman, PHARM D

  • Pharmacist
  • Los Angeles, CA
  • NPI 1255686481
  NPD Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1245338276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 N BEVERLY GLEN CIR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771724",
            "telephone_number": "310-475-0568",
            "fax_number": "310-475-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 N BEVERLY GLEN CIR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771724",
            "telephone_number": "310-475-0568",
            "fax_number": "310-475-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY GLEN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "BURMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-475-0568"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55866",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1998727",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Cardiology Group
• Beverly Century Surgical Center
• Beverly Community Clinic
• Beverly Dental Drive Care
• Beverly Foot Care Center
• Beverly Glen Pharmacy Inc (Beverly Glen Pharmacy LTC)
• Beverly Grove Vision Care Optometry, Inc
• Beverly Health & Birthing Center
• Beverly Health Care Inc
• Beverly Healthcare Medical Group Inc

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, 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 Jan 19, 2021; 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.