Organization Active NPI

Herbert a Glicksman

Doing business as Herbert's Pharmacy

  • Community/Retail Pharmacy
  • Beverly Hills, CA
National Provider Identifier
1417978461
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY34171 Issued in CA
Legal business name
HERBERT A GLICKSMAN
Doing business as
Herbert's Pharmacy
Practice address
9001 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211-1838
Phone
(310) 859-3887
Fax
(310) 859-3454
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Herbert Glicksman, PHARM. D.
Title
Owner Pharmacist
Phone
(310) 859-3887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY34171 CA Primary

Addresses

Primary practice location

9001 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211-1838

Mailing address

9001 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211-1838
Phone (310) 859-3887

Other identifiers 2

IdentifierTypeStateIssuer
PHA341710MedicaidCA
1998943OtherPK

Other names 1

  • HERBERT'S PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1417978461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD",
            "address_2": "STE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111838",
            "telephone_number": "310-859-3887",
            "fax_number": "310-859-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD",
            "address_2": "STE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111838",
            "telephone_number": "310-859-3887",
            "fax_number": "310-859-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT A GLICKSMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "GLICKSMAN",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "310-859-3887",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY34171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA341710",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1998943",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERBERT'S 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 May 29, 2015; 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.