Organization Active NPI

Thomas Harrison Price

Doing business as Palisades Village Pharmacy

  • Community/Retail Pharmacy
  • Pacific Palisades, CA
National Provider Identifier
1467597856
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY44886 Issued in CA
Legal business name
THOMAS HARRISON PRICE
Doing business as
Palisades Village Pharmacy
Practice address
881 Alma Real Dr
Ste 117
Pacific Palisades, CA 90272-3761
Phone
(310) 454-6505
Fax
(310) 459-7352
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Thomas Price, RPHNPI 1649279795
Title
RPH and Owner
Phone
(310) 454-6505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY44886 CA Primary

Addresses

Primary practice location

881 Alma Real Dr
Ste 117
Pacific Palisades, CA 90272-3761

Mailing address

881 Alma Real Dr
Ste 117
Pacific Palisades, CA 90272-3761
Phone (310) 454-6505

Other identifiers 2

IdentifierTypeStateIssuer
PHA448860MedicaidCA
0575211OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PALISADES VILLAGE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

881 Alma Real Dr
Ste 117
Pacific Palisades, CA 90272
Phone (310) 454-6505

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1467597856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR",
            "address_2": "STE 117",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723761",
            "telephone_number": "310-454-6505",
            "fax_number": "310-459-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR",
            "address_2": "STE 117",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723761",
            "telephone_number": "310-454-6505",
            "fax_number": "310-459-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS HARRISON PRICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "RPH AND OWNER",
        "authorized_official_telephone_number": "310-454-6505",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY44886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA448860",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0575211",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALISADES VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pacific Palisades, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.