Organization Active NPI

Clinton and Clinton Inc

Doing business as Apothecary Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1437273224
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46250 Issued in CA
Legal business name
CLINTON AND CLINTON INC
Doing business as
Apothecary Pharmacy
Practice address
11700 National Blvd Ste L
Ste L
Los Angeles, CA 90064-3668
Phone
(310) 737-7277
Fax
(310) 737-7977
NPI assigned
Mar 18, 2007
Last updated
Feb 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Ronald Clinton, RPHNPI 1982479978
Title
Pharmacy MGR
Phone
(310) 737-7277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY46250 CA Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

11700 National Blvd Ste L
Ste L
Los Angeles, CA 90064-3668

Mailing address

11700 National Blvd Ste L
Ste L
Los Angeles, CA 90064-3668
Phone (310) 737-7277

Other identifiers 2

IdentifierTypeStateIssuer
1995477OtherPK
PHA462500MedicaidCA

Other names 1

  • APOTHECARY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

11700 National Blvd
Ste L
Los Angeles, CA 90064
Phone (310) 737-7277

Practitioners & affiliated clinicians

Practitioners 1

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": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1437273224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 NATIONAL BLVD STE L",
            "address_2": "STE L",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643668",
            "telephone_number": "310-737-7277",
            "fax_number": "310-737-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 NATIONAL BLVD STE L",
            "address_2": "STE L",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643668",
            "telephone_number": "310-737-7277",
            "fax_number": "310-737-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON AND CLINTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "CLINTON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PHARMACY MGR",
        "authorized_official_telephone_number": "310-737-7277",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46250",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995477",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA462500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APOTHECARY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.