Beveryl Hills Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY45834 Issued in CA

Legal business name

BEVERYL HILLS PHARMACY CORP

Doing business as

Beverly Hills Pharmacy and Gift Shop

Practice address

8500 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211-3121

Phone

(310) 652-3784

Fax

(310) 652-3782

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Babak Nassir

Title

Pharmacist

Phone

(310) 652-3784

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• BEVERLY HILLS PHARMACY AND GIFT SHOP Doing business as

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1376604439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD",
            "address_2": "STE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113121",
            "telephone_number": "310-652-3784",
            "fax_number": "310-652-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD",
            "address_2": "STE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113121",
            "telephone_number": "310-652-3784",
            "fax_number": "310-652-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERYL HILLS PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "NASSIR",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "310-652-3784"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY45834",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA458340",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2003038",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEVERLY HILLS PHARMACY AND GIFT SHOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beverly Radiology Medical Group
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• Beverly Wilshire Medical Imaging PC
• Beverly Wilshire Surgery Center, LLC
• BH Acuhealth Clinic Inc
• BH Dermatology Management Inc. (Beverly Hills Dermatology Consultants)
• BH ENT Group Inc
• BH Outpatient Surgical Center
• BH Superior Healthcare Inc.

• Community/Retail Pharmacy in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.