Organization Active NPI

Kroger Pharmacy

  • Pharmacist
  • Encino, CA
National Provider Identifier
1265826705
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
49773 Issued in CA
Legal business name
KROGER PHARMACY
Practice address
16325 Ventura Blvd
Encino, CA 91436-2101
Phone
(818) 728-4515
NPI assigned
Mar 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Dr. Lord Sorino
Title
Clinical Pharmacist
Phone
(310) 884-4733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 49773 CA Primary

Addresses

Primary practice location

16325 Ventura Blvd
Encino, CA 91436-2101

Mailing address

3710 Hayvenhurst Ave
Encino, CA 91436-3844
Phone (310) 592-2846

National Provider Directory

National Provider Directory

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": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1265826705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 HAYVENHURST AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363844",
            "telephone_number": "310-592-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16325 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362101",
            "telephone_number": "818-728-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROGER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "SORINO",
        "authorized_official_first_name": "LORD",
        "authorized_official_title_or_position": "CLINICAL PHARMACIST",
        "authorized_official_telephone_number": "310-884-4733",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "49773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.