Petrx LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PETRX LLC

Practice address

30941 Agoura Rd Ste 126B
Westlake Village, CA 91361-4673

Phone

(833) 571-7387

NPI assigned

Jun 22, 2022

Organization subpart

No

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

Authorized official

Name

Jacob Kibbee

Title

Ceo

Phone

(833) 571-7387

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1356072193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30941 AGOURA RD STE 126B",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30941 AGOURA RD STE 126B",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614673",
            "telephone_number": "833-571-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "KIBBEE",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-571-7387"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Jeanne Perrino, L.AC.
• Suzanne E Perry, MS
• William C Perry, M.S., LMFT
• Aaron Peterson, O.D.
• Petrus Psychology Professional Corporation
• Anh Pham
• Michael Phillips, DPT
• Dennis Pick, D.C.
• Jacqueline Pick, D.C.
• Caroline C Pieszak, M.D.

• Pharmacy in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.