Organization Active NPI

Dsy Pharmacy Inc

Doing business as Ace Medical Pharmacy

  • Community/Retail Pharmacy
  • Beverly Hills, CA
National Provider Identifier
1396128443
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 53429 Issued in CA
Legal business name
DSY PHARMACY INC
Doing business as
Ace Medical Pharmacy
Practice address
9171 Wilshire Blvd
Ste B
Beverly Hills, CA 90210-5530
Phone
(310) 385-9128
Fax
(310) 385-9129
NPI assigned
Jul 8, 2015
Last updated
Jul 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Dr. Sahar Simino, PHARM D
Title
Secretary/Pharmacist in Charge
Phone
(310) 385-9128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY 53429 CA Primary

Addresses

Primary practice location

9171 Wilshire Blvd
Ste B
Beverly Hills, CA 90210-5530

Mailing address

9171 Wilshire Blvd
Ste B
Beverly Hills, CA 90210-5530
Phone (310) 385-9128

Other names 1

  • ACE MEDICAL PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180326000765 CA DME Supplier - Pharmacy 7517229859 Practice locations: Beverly Hills, CA
O20200126000035 CA Part B Supplier - Mass Immunization (Roster Biller Only) 7517229859 Practice locations: Beverly Hills, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ace Medical Pharmacy9171 Wilshire Blvd, Beverly Hills, CA 90210-5560(310) 385-9128 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 2022

National Provider Directory

National Provider Directory

Locations

9171 Wilshire Blvd
Ste B
Beverly Hills, CA 90210
Phone (310) 385-9128

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1396128443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9171 WILSHIRE BLVD",
            "address_2": "STE B",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105530",
            "telephone_number": "310-385-9128",
            "fax_number": "310-385-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9171 WILSHIRE BLVD",
            "address_2": "STE B",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105530",
            "telephone_number": "310-385-9128",
            "fax_number": "310-385-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "SIMINO",
        "authorized_official_first_name": "SAHAR",
        "authorized_official_title_or_position": "SECRETARY/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "310-385-9128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 53429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACE MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.