Active NPI
Pirooz Pharmacy, Inc.
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1346384195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHY41644
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Farzad Jack Pirooz, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA416440 | Medicaid | CA |
Other names 1
- barrington-wilshire pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist
- Los Angeles, CA
- NPI 1003373473
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Los Angeles, CA
- NPI 1770198343
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.