NPIMap

Organization Active NPI

Grancell Village of the Los Angeles

  • Long Term Care Pharmacy
  • Reseda, CA
National Provider Identifier
1265617823
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
MSP48566 Issued in CA
Legal business name
GRANCELL VILLAGE OF THE LOS ANGELES
Doing business as
JOYCE EISENBURG KEEFER MEDICAL CENTER PHARMACY
Practice address
7150 Tampa Ave
1St Floor
Reseda, CA 91335
Phone
(818) 758-5017
Fax
(818) 774-2430
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Authorized official

Name
Bob Shmaeff, MPA
Title
Director of Pharmacy Services
Phone
(818) 654-5521

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X MSP48566 CA Primary

Addresses

Primary practice location

7150 Tampa Ave
1St Floor
Reseda, CA 91335

Mailing address

7150 Tampa Ave
1St Floor
Reseda, CA 91335-3700
Phone (818) 758-5017

Other identifiers 1

IdentifierTypeStateIssuer
2113017OtherPK

Other names 1

  • JOYCE EISENBURG KEEFER MEDICAL CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grancell Village of the Los Angeles Jewish Home for the Aging3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7150 Tampa Ave
Fl 1
Reseda, CA 91335
Phone (818) 758-5017

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1265617823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 TAMPA AVE",
            "address_2": "1ST FLOOR",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353700",
            "telephone_number": "818-758-5017",
            "fax_number": "818-774-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 TAMPA AVE",
            "address_2": "1ST FLOOR",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-758-5017",
            "fax_number": "818-774-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANCELL VILLAGE OF THE LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "SHMAEFF",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "818-654-5521",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "MSP48566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2113017",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOYCE EISENBURG KEEFER MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.