Fishbor Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY49969 Issued in CA

Legal business name

FISHBOR INC

Doing business as

Plaza West Pharmacy

Practice address

8704 Sepulveda Blvd
North Hills, CA 91343-5112

Phone

(818) 894-3333

Fax

(818) 894-3301

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Maria Kilimnik, PHARM D

Title

President/Pic

Phone

(818) 894-3333

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PLAZA WEST PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

Fishbor Inc Plaza West Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Fishbor Inc/ Plaza West Pharmacy

  • Community/Retail Pharmacy
  • North Hills, CA
  • NPI 1588131502
  NPD tax ID
• Fishbor Inc/ Plaza West Pharmacy

  • Long Term Care Pharmacy
  • North Hills, CA
  • NPI 1962979013
  NPD tax ID

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1295789048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8704 SEPULVEDA BLVD",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913435112",
            "telephone_number": "818-894-3333",
            "fax_number": "818-894-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8704 SEPULVEDA BLVD",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913435112",
            "telephone_number": "818-894-3333",
            "fax_number": "818-894-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHBOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "KILIMNIK",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "818-894-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY49969",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY 49969",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0593411",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLAZA WEST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benit Annabelle Felker Meyer
• Josue Fernandez, MD
• Michelle Lynne Ferrante
• First Due Medical Services
• Karen Ann Fischer, LMFT
• Fishbor Inc/ Plaza West Pharmacy
• Fishbor Inc/ Plaza West Pharmacy
• Luis Jaime Fitten, M.D.
• Andrea Fleetham
• Stephan Jay Fleisher, PHD

• Community/Retail Pharmacy in North Hills, CA
• Providers in North Hills, 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 Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.