Nicole Marie Bilan, RPH

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

75967 Issued in CA

Practice address

1303 Sepulveda Blvd
Torrance, CA 90501-5002

Phone

(310) 784-1351

Fax

(310) 784-1369

NPI assigned

Jun 4, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Garfield Beach CVS LLC

  dba CVS Pharmacy #10022

  • Pharmacy
  • Torrance, CA
  • NPI 1124453030
  NPD (past)
• Garfield Beach CVS, L.L.C.

  dba CVS Pharmacy #17914

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496534400000",
    "number": "1306375332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 SEPULVEDA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905015002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 SEPULVEDA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905015002",
            "telephone_number": "310-784-1351",
            "fax_number": "310-784-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILAN",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2017-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "75967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124453030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincoln Charles Bickford, MD, PHD
• Nathan Biddulph
• Biena Group Inc (Biena Medical Services)
• Rebecca S Bierman, D.O.
• Michael Thomas Biernetzky, L.AC.
• Anita Bilaver, MFT INTERN
• Arielle Elyse Bilek
• Nahaal Binazir
• Tina Marie Binda, MFT
• Elijah Grey Bingham, MD

• Community/Retail Pharmacy in Torrance, CA
• Providers in Torrance, 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 Jun 4, 2017; 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.