Organization Active NPI

Fred P Startz

  • Community/Retail Pharmacy
  • West Hollywood, CA
National Provider Identifier
1285649814
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY43336 Issued in CA
Legal business name
FRED P STARTZ
Practice address
8933 Santa Monica Blvd
West Hollywood, CA 90069-4912
Phone
(310) 278-7734
Fax
(310) 278-7748
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Fred Startz
Title
Owner
Phone
(310) 278-7734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY43336 CA Primary

Addresses

Primary practice location

8933 Santa Monica Blvd
West Hollywood, CA 90069-4912

Mailing address

8933 Santa Monica Blvd
West Hollywood, CA 90069-4912
Phone (310) 278-7734

Other identifiers 2

IdentifierTypeStateIssuer
0598358OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHA43336MedicaidCA

Other names 1

  • MARVINS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

8933 Santa Monica Blvd
West Hollywood, CA 90069
Phone (310) 278-7734

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1285649814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8933 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694912",
            "telephone_number": "310-278-7734",
            "fax_number": "310-278-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8933 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694912",
            "telephone_number": "310-278-7734",
            "fax_number": "310-278-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED P STARTZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "STARTZ",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-278-7734"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY43336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0598358",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA43336",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARVINS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.