Organization Active NPI

Bioscrip Pharmacy, Inc.

  • Community/Retail Pharmacy
  • West Hollywood, CA
National Provider Identifier
1366445231
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY43521 Issued in CA
Legal business name
BIOSCRIP PHARMACY, INC.
Practice address
8490 Santa Monica Blvd
Ste 1
West Hollywood, CA 90069-4261
Phone
(310) 657-4333
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
James Melancon
Title
Vice President
Phone
(917) 449-6939

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PHY43521 CA Primary

Addresses

Primary practice location

8490 Santa Monica Blvd
Ste 1
West Hollywood, CA 90069-4261

Mailing address

10050 Crosstown Cir
Ste 300
Eden Prairie, MN 55344-3374
Phone (800) 753-5995

Other identifiers 1

IdentifierTypeStateIssuer
PHA435210MedicaidCA

Other names 1

  • BioScrip Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

8490 Santa Monica Blvd
Ste 1
West Hollywood, CA 90069
Phone (310) 657-4333

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1366445231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 CROSSTOWN CIR",
            "address_2": "STE 300",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443374",
            "telephone_number": "800-753-5995",
            "fax_number": "952-352-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8490 SANTA MONICA BLVD",
            "address_2": "STE 1",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694261",
            "telephone_number": "310-657-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOSCRIP PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "MELANCON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "917-449-6939"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY43521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA435210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BioScrip Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.