Organization Active NPI

Joel Flores

  • Pharmacy
  • Tarzana, CA
National Provider Identifier
1285978650
Registry record updated Nov 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
72895 Issued in CA
Legal business name
JOEL FLORES
Practice address
18568 Ventura Blvd
Tarzana, CA 91356-4146
Phone
(818) 776-1363
NPI assigned
Nov 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2012

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

Authorized official

Name
Joel Flores
Title
Certified Pharmacy Technician
Phone
(818) 776-1363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 72895 CA Primary

Addresses

Primary practice location

18568 Ventura Blvd
Tarzana, CA 91356-4146

Mailing address

18568 Ventura Blvd
Tarzana, CA 91356-4146

Other identifiers 1

IdentifierTypeStateIssuer
72895OtherCABOARD OF PHARMACY

National Provider Directory

National Provider Directory

Locations

18568 Ventura Blvd
Tarzana, CA 91356
Phone (818) 776-1363

NPI Registry JSON

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

{
    "created_epoch": "1353715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353715200000",
    "number": "1285978650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18568 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18568 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564146",
            "telephone_number": "818-776-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL FLORES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-24",
        "last_updated": "2012-11-24",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CERTIFIED PHARMACY TECHNICIAN",
        "authorized_official_telephone_number": "818-776-1363"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "72895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "72895",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2012; 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.