Active NPI
Shaunak Jaiprakash Intwala, PHARM.D.
- Pharmacist
- Glendale, CA
National Provider Identifier
1316396823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70370
- Practice address
- 330 N Brand Blvd Ste 155
Glendale, CA 91203 - Phone
- (800) 557-5555
- Fax
- (800) 557-9095
- NPI assigned
- Jun 6, 2016
- Last updated
- Aug 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 70370 | CA | Primary |
Addresses
Primary practice location
330 N Brand Blvd Ste 155
Glendale, CA 91203
Mailing address
20905 Avis Ave
Torrance, CA 90503-4905
Phone (310) 408-5691
Other practice location 1
8900 Sepulveda Westway
Los Angeles, CA 90045-3619
Phone (310) 258-0265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70370 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triple S R Pharmacy Inc | Past | Accepting new patients | |
| Triple S R Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hope Specialty Pharmacy
- Community/Retail Pharmacy
- Glendale, CA
- NPI 1275930638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1316396823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20905 AVIS AVE",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034905",
"telephone_number": "310-408-5691",
"fax_number": "310-542-0194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 N BRAND BLVD STE 155",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91203",
"telephone_number": "800-557-5555",
"fax_number": "800-557-9095"
}
],
"practiceLocations": [
{
"address_1": "8900 Sepulveda Westway",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900453619",
"country_code": "US",
"telephone_number": "310-258-0265",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INTWALA",
"first_name": "SHAUNAK",
"middle_name": "JAIPRAKASH",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-06",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.