Organization Active NPI

LDW PC Inc

  • Community/Retail Pharmacy
  • Beverly Hills, CA
National Provider Identifier
1306939731
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46072 Issued in CA
Legal business name
LDW PC INC
Practice address
9400 Brighton Way
Beverly Hills, CA 90210-4714
Phone
(310) 274-0144
Fax
(310) 275-5470
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Peter Dolezal
Title
Chief Phcst
Phone
(310) 274-0144

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY46072 CA Primary

Addresses

Primary practice location

9400 Brighton Way
Beverly Hills, CA 90210-4714

Mailing address

9400 Brighton Way
Beverly Hills, CA 90210-4714
Phone (310) 274-0144

Other identifiers 1

IdentifierTypeStateIssuer
1992763OtherPK

Other names 1

  • GARFIELD PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

9400 Brighton Way
Beverly Hills, CA 90210
Phone (310) 274-0144

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1306939731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104714",
            "telephone_number": "310-274-0144",
            "fax_number": "310-275-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104714",
            "telephone_number": "310-274-0144",
            "fax_number": "310-275-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDW PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "DOLEZAL",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CHIEF PHCST",
        "authorized_official_telephone_number": "310-274-0144"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1992763",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GARFIELD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.