Active NPI
Jessica Lu
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1265969216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65052
- Practice address
- 6201 Hollywood Blvd # Stu126
Los Angeles, CA 90028-5361 - Phone
- (323) 467-7954
- NPI assigned
- May 20, 2017
- Last updated
- May 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 65052 | CA | Primary |
Addresses
Primary practice location
6201 Hollywood Blvd # Stu126
Los Angeles, CA 90028-5361
Mailing address
6201 Hollywood Blvd
Los Angeles, CA 90028-5361
Phone (805) 813-1728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495756800000",
"number": "1265969216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 HOLLYWOOD BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900285361",
"telephone_number": "805-813-1728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 HOLLYWOOD BLVD # STU126",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900285361",
"telephone_number": "323-467-7954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-20",
"last_updated": "2017-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "65052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.