Roxsan Pharmacy, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY38297 Issued in CA

Legal business name

ROXSAN PHARMACY, INC

Practice address

465 N Roxbury Dr
Beverly Hills, CA 90210-4206

Phone

(310) 273-1644

Fax

(310) 276-4152

NPI assigned

Aug 11, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Shahla Keyvanfar Melamed, PHARM.D.

Title

Pharmacist

Phone

(310) 273-1644

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1295737070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104206",
            "telephone_number": "310-273-1644",
            "fax_number": "310-276-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104206",
            "telephone_number": "310-273-1644",
            "fax_number": "310-276-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXSAN PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "MELAMED",
        "authorized_official_first_name": "SHAHLA",
        "authorized_official_middle_name": "KEYVANFAR",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "310-273-1644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY38297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA382970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxbury Surgery Center LLC
• Roxbury Surgical Associates a Medical Corporation
• Roxbury Surgical Center LLC.
• Roxbury Surgical Group
• Roxbury Surgical Institute
• Roxsan Pharmacy, Inc.
• Roxsan Surgery Center, LLC
• Jillian Alexandra Roy, FNP-C
• Roya H Ghafouri MD Inc
• David Rozenblat, FNP-BC

• Pharmacy in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.