Organization Active NPI

E & M Pharmacies, Inc

Doing business as Beverly Pharmacy

  • Pharmacy
  • Los Angeles, CA
National Provider Identifier
1275623811
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY47496 Issued in CA
Legal business name
E & M PHARMACIES, INC
Doing business as
Beverly Pharmacy
Practice address
2105 Beverly Blvd
Suite 107
Los Angeles, CA 90057-2216
Phone
(213) 413-4448
Fax
(213) 413-4449
NPI assigned
Oct 13, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Tahani Eskander, RPH
Title
Pharmacist in Charge
Phone
(213) 413-4448

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X PHY47496 CA
Pharmacy 333600000X PHY47496 CA Primary
Prosthetic/Orthotic Supplier 335E00000X PHY47496 CA
Specialty Pharmacy 3336S0011X PHY47496 CA

Addresses

Primary practice location

2105 Beverly Blvd
Suite 107
Los Angeles, CA 90057-2216

Mailing address

2105 Beverly Blvd
Suite 107
Los Angeles, CA 90057-2216
Phone (213) 413-4448

Other identifiers 2

IdentifierTypeStateIssuer
5600538OtherCANABP
PHA464760MedicaidCA

Other names 1

  • BEVERLY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930091995 CA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 7315149168 Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Beverly Pharmacy2105 Beverly Blvd, Los Angeles, CA 90057-2251(213) 413-4448 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Orthoses: Off-The-Shelf|O… Does not accept assignmentParticipating since Apr 11, 2006

National Provider Directory

National Provider Directory

Locations

2105 Beverly Blvd
Ste 107
Los Angeles, CA 90057
Phone (213) 413-4448

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1275623811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD",
            "address_2": "SUITE 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572216",
            "telephone_number": "213-413-4448",
            "fax_number": "213-413-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD",
            "address_2": "SUITE 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572216",
            "telephone_number": "213-413-4448",
            "fax_number": "213-413-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & M PHARMACIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ESKANDER",
        "authorized_official_first_name": "TAHANI",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "213-413-4448",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "PHY47496",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY47496",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "PHY47496",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "PHY47496",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "5600538",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA464760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEVERLY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BEVERLY 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.