Organization Active NPI

Grabo United Inc

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1245345263
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46522 Issued in CA
Legal business name
GRABO UNITED INC
Practice address
709 N Hill St
Ste 23
Los Angeles, CA 90012-2361
Phone
(213) 617-0088
Fax
(213) 617-2988
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Bob Shen
Title
President
Phone
(213) 617-0088

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY46522 CA Primary

Addresses

Primary practice location

709 N Hill St
Ste 23
Los Angeles, CA 90012-2361

Mailing address

709 N Hill St
Ste 23
Los Angeles, CA 90012-2361
Phone (213) 617-0088

Other identifiers 2

IdentifierTypeStateIssuer
PHA439900MedicaidCA
1993366OtherPK

Other names 1

  • C T PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

709 N Hill St
Ste 23
Los Angeles, CA 90012
Phone (213) 617-0088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1245345263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 N HILL ST",
            "address_2": "STE 23",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122361",
            "telephone_number": "213-617-0088",
            "fax_number": "213-617-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N HILL ST",
            "address_2": "STE 23",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122361",
            "telephone_number": "213-617-0088",
            "fax_number": "213-617-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRABO UNITED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-617-0088"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA439900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1993366",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C T PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.