Organization Active NPI

Ocean View Pharmacy Inc

Doing business as 10th STREET MEDICAL PHARMACY

  • Community/Retail Pharmacy
  • Santa Monica, CA
National Provider Identifier
1467467217
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY48956 Issued in CA
Legal business name
OCEAN VIEW PHARMACY INC
Doing business as
10th STREET MEDICAL PHARMACY
Practice address
1450 10TH St
Ste 100
Santa Monica, CA 90401-2857
Phone
(310) 394-5405
Fax
(310) 394-5408
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Rozita Shemtoub
Title
President
Phone
(310) 394-5405

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY48956 CA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1450 10TH St
Ste 100
Santa Monica, CA 90401-2857

Mailing address

1450 10TH St
Ste 100
Santa Monica, CA 90401-2857
Phone (310) 394-5405

Other identifiers 2

IdentifierTypeStateIssuer
2003035OtherPK
PHA228950MedicaidCA

Other names 1

  • 10th STREET MEDICAL PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
10TH St Medical Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1467467217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 10TH ST",
            "address_2": "STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012857",
            "telephone_number": "310-394-5405",
            "fax_number": "310-394-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 10TH ST",
            "address_2": "STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012857",
            "telephone_number": "310-394-5405",
            "fax_number": "310-394-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN VIEW PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "SHEMTOUB",
        "authorized_official_first_name": "ROZITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-394-5405"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48956",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2003035",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA228950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "10th STREET MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.