Active NPI
Bioscrip Pharmacy, Inc.
- Community/Retail Pharmacy
- West Hollywood, CA
National Provider Identifier
1366445231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY43521
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA435210 | Medicaid | CA |
Other names 1
- BioScrip Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.