The Diennet Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PHY44310 Issued in CA

Legal business name

THE DIENNET PHARMACY

Practice address

9454 Wilshire Blvd
Beverly Hills, CA 90212-2931

Phone

(310) 271-3621

Fax

(310) 271-3708

NPI assigned

Sep 5, 2011

Organization subpart

No

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

Authorized official

Name

Afshin Shamooni

Title

Pharmacist in Charge

Phone

(310) 271-3621

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• The Diennet Pharmacy Doing business as

Tax ID family

The Diennet 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.

• The Diennet Pharmacy

  • Compounding Pharmacy
  • Beverly Hills, CA
  • NPI 1083982896
  NPD tax ID

Locations

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

{
    "created_epoch": "1315180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1346521390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9454 WILSHIRE BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122931",
            "telephone_number": "310-271-3621",
            "fax_number": "310-271-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9454 WILSHIRE BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122931",
            "telephone_number": "310-271-3621",
            "fax_number": "310-271-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DIENNET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-05",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "SHAMOONI",
        "authorized_official_first_name": "AFSHIN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "310-271-3621"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHY44310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157498",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Diennet Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Compounding Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.