Avg Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

AVG INC

Doing business as

AdvanceCare Pharmacy

Practice address

8700 Santa Monica Blvd
West Hollywood, CA 90069-4508

Phone

(323) 475-1475

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Tristan David Schukraft

Title

Ceo/Cfo/Sec/Dir

Phone

(818) 231-0751

Specialties & licenses 1

Addresses

Other names 1

• AdvanceCare Pharmacy Doing business as

Tax ID family

Advancecare Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Avg Inc

  • Assisted Living Facility
  • Fresno, CA
  • NPI 1588749469
  NPD tax ID

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1326071572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694508",
            "telephone_number": "323-475-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694508",
            "telephone_number": "323-475-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "SCHUKRAFT",
        "authorized_official_first_name": "TRISTAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO/CFO/SEC/DIR",
        "authorized_official_telephone_number": "818-231-0751"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdvanceCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Audell, MD
• Augment ABA Consulting
• Annemieke M Austin, M.D.
• Aida Avadisian
• Melline Avanesian
• Rapheal Demetrius Avila-Cunanan, DNAP, RN
• Stephen Daniel Avila, MD
• Eyal N/a Aviran, MD
• Avision Therapy Licensed Clinical Social Worker Inc.
• Alex Aw, MD

• Long Term Care Pharmacy in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.