Active NPI
Herbert a Glicksman
Doing business as Herbert's Pharmacy
- Community/Retail Pharmacy
- Beverly Hills, CA
National Provider Identifier
1417978461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY34171
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA341710 | Medicaid | CA | |
| 1998943 | Other | PK |
Other names 1
- HERBERT'S PHARMACY
National Provider Directory
National Provider DirectoryNPI 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
- Theodric Blue Hendrix Jr., M.D.
- Henrietta Stancz-Szeder MD Inc
- Rebecca Karin Henson
- Her Healing Community
- Jessica Heravi, PHYSICIAN ASSISTANT
- Herbert I Stein MD a Medical Corp
- Herberts RX (Herbert's Pharmacy)
- Herhealth a Professional Corporation
- Maxine Herman, LCSW
- Valerie Yvette Hermann, RN,BSN,MSN,WHNP
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.