Active NPI
CVS Pharmacy
- Public Health or Welfare Agency
- Inglewood, CA
National Provider Identifier
1376992875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- RPH 47630
- Legal business name
- CVS PHARMACY
- Practice address
- 222 N Market St
Inglewood, CA 90301-1217 - Phone
- (310) 671-0441
- NPI assigned
- Jun 7, 2016
- 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
- Dr. Artin Dembekjan, PHARM D
- Title
- Supervisor
- Phone
- (401) 216-0086
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | RPH 47630 | CA | Primary |
Addresses
Primary practice location
222 N Market St
Inglewood, CA 90301-1217
Mailing address
12415 Rives Ave
Downey, CA 90242-3454
Phone (562) 253-3905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CODE 18 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465257600000",
"number": "1376992875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12415 RIVES AVE",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902423454",
"telephone_number": "562-253-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N MARKET ST",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903011217",
"telephone_number": "310-671-0441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A",
"authorized_official_last_name": "DEMBEKJAN",
"authorized_official_first_name": "ARTIN",
"authorized_official_title_or_position": "SUPERVISOR",
"authorized_official_telephone_number": "401-216-0086",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "CA",
"license": "RPH 47630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CODE 18",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.