Recombi Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

48231 Issued in CA

Legal business name

RECOMBI INC

Doing business as

Recombirx

Practice address

250 N Westlake Blvd
Ste 250
Westlake Village, CA 91362-3700

Phone

(805) 496-4202

Fax

(866) 222-6636

NPI assigned

Nov 17, 2006

Last updated

Aug 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tony Park, PHARMD

Title

Pharmacist President Ceo

Phone

(805) 208-4140

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• RECOMBIRX Doing business as

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1285708719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N WESTLAKE BLVD",
            "address_2": "STE 250",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N WESTLAKE BLVD",
            "address_2": "STE 250",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623700",
            "telephone_number": "805-496-4202",
            "fax_number": "866-222-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOMBI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PHARMACIST PRESIDENT CEO",
        "authorized_official_telephone_number": "805-208-4140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "48231",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5624590",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA482310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RECOMBIRX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.