Organization Active NPI

Pirooz Pharmacy, Inc.

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1346384195
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY41644 Issued in CA
Legal business name
PIROOZ PHARMACY, INC.
Practice address
11701 Wilshire Blvd
Store # 3
Los Angeles, CA 90025-1546
Phone
(310) 473-3323
Fax
(310) 473-3473
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Farzad Jack Pirooz, PHARMDNPI 1003373473
Title
Secratary
Phone
(310) 473-3323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X PHY41644 CA Primary

Addresses

Primary practice location

11701 Wilshire Blvd
Store # 3
Los Angeles, CA 90025-1546

Mailing address

11701 Wilshire Blvd
Store # 3
Los Angeles, CA 90025-1546
Phone (310) 473-3323

Other identifiers 1

IdentifierTypeStateIssuer
PHA416440MedicaidCA

Other names 1

  • barrington-wilshire pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210315000946 CA Part B Supplier - Mass Immunization (Roster Biller Only) 0345360376 Practice locations: Los Angeles, CA
O20220114000466 CA Part B Supplier - Independent Clinical Laboratory 0345360376 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

11701 Wilshire Blvd
Ste 3
Los Angeles, CA 90025
Phone (310) 473-3323

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346384195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 WILSHIRE BLVD",
            "address_2": "STORE # 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251546",
            "telephone_number": "310-473-3323",
            "fax_number": "310-473-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 WILSHIRE BLVD",
            "address_2": "STORE # 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251546",
            "telephone_number": "310-473-3323",
            "fax_number": "310-473-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIROOZ PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIROOZ",
        "authorized_official_first_name": "FARZAD",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "SECRATARY",
        "authorized_official_telephone_number": "310-473-3323",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY41644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA416440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "barrington-wilshire pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.