Active NPI
Ipbs Inc
- Community/Retail Pharmacy
- Chatsworth, CA
National Provider Identifier
1467094995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- IPBS INC
- Practice address
- 9917 Topanga Canyon Blvd
Chatsworth, CA 91311-3602 - Phone
- (818) 960-4521
- Fax
- (818) 960-4522
- NPI assigned
- Oct 16, 2019
- 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
- Mr. Beshoy Isaac Gerges, PHARM D
- Title
- President/Ceo/Cfo/Secretarydirector
- Phone
- (818) 960-4521
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
9917 Topanga Canyon Blvd
Chatsworth, CA 91311-3602
Mailing address
9917 Topanga Canyon Blvd
Chatsworth, CA 91311-3602
Phone (818) 960-4521
Other names 1
- St Mary Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211117002433 | CA | DME Supplier - Pharmacy | 7113316837 | Practice locations: Chatsworth, CA |
| O20220209000512 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7113316837 | Practice locations: Chatsworth, CA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647216000000",
"number": "1467094995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9917 TOPANGA CANYON BLVD",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913113602",
"telephone_number": "818-960-4521",
"fax_number": "818-960-4522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9917 TOPANGA CANYON BLVD",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913113602",
"telephone_number": "818-960-4521",
"fax_number": "818-960-4522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IPBS INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-16",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A",
"authorized_official_last_name": "GERGES",
"authorized_official_first_name": "BESHOY",
"authorized_official_middle_name": "ISAAC",
"authorized_official_title_or_position": "PRESIDENT/CEO/CFO/SECRETARYDIRECTOR",
"authorized_official_telephone_number": "818-960-4521",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St Mary Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chatsworth, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.