Organization Active NPI

West Val Pharmacy Inc

  • Pharmacy
  • Encino, CA
National Provider Identifier
1366477655
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY11433 Issued in CA
Legal business name
WEST VAL PHARMACY INC
Practice address
5353 Balboa Blvd
Encino, CA 91316-2874
Phone
(818) 788-2411
Fax
(818) 981-4947
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Mr. Stanley B Goldenberg, BS PHARMACY & FASCP
Title
Pharmacist Owenr
Phone
(818) 788-5810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY11433 CA Primary

Addresses

Primary practice location

5353 Balboa Blvd
Encino, CA 91316-2874

Mailing address

5353 Balboa Blvd
Encino, CA 91316-2874
Phone (818) 788-2411

Other identifiers 1

IdentifierTypeStateIssuer
PHD114330MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1366477655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 BALBOA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162874",
            "telephone_number": "818-788-2411",
            "fax_number": "818-981-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 BALBOA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162874",
            "telephone_number": "818-788-2411",
            "fax_number": "818-981-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "GOLDENBERG",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHARMACIST OWENR",
        "authorized_official_telephone_number": "818-788-5810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS PHARMACY & FASCP"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY11433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHD114330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.