Active NPI
LDW PC Inc
- Community/Retail Pharmacy
- Beverly Hills, CA
National Provider Identifier
1306939731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY46072
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992763 | Other | PK |
Other names 1
- GARFIELD PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.