Active NPI
Santa Monica Homeopathic Phy
- Community/Retail Pharmacy
- Santa Monica, CA
National Provider Identifier
1467851352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY40946
- Legal business name
- SANTA MONICA HOMEOPATHIC PHY
- Doing business as
- SANTA MONICA HOMEOPATHIC PHARMACY
- Practice address
- 629 Broadway
Santa Monica, CA 90401-2503 - Phone
- (310) 395-1131
- Fax
- (310) 395-7861
- NPI assigned
- Aug 18, 2014
- 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
- Pam Tarlow
- Title
- Pharmacist
- Phone
- (310) 395-1131
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY40946 | CA | Primary |
Addresses
Primary practice location
629 Broadway
Santa Monica, CA 90401-2503
Mailing address
629 Broadway
Santa Monica, CA 90401-2503
Phone (310) 395-1131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2004729 | Other | PK |
Other names 1
- SANTA MONICA HOMEOPATHIC PHARMACY
National Provider Directory
National Provider DirectoryLocations
629 Broadway
Santa Monica, CA 90401
Phone (310) 395-1131
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Santa Monica, CA
- NPI 1558716522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408320000000",
"number": "1467851352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 BROADWAY",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012503",
"telephone_number": "310-395-1131",
"fax_number": "310-395-7861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 BROADWAY",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012503",
"telephone_number": "310-395-1131",
"fax_number": "310-395-7861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA MONICA HOMEOPATHIC PHY",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-18",
"last_updated": "2014-08-18",
"status": "A",
"authorized_official_last_name": "TARLOW",
"authorized_official_first_name": "PAM",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "310-395-1131"
},
"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": "PHY40946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2004729",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SANTA MONICA HOMEOPATHIC PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Monica, CA
- Santa Monica Dermatology Group
- Santa Monica Detox
- Santa Monica Eye Medical Group
- Santa Monica Gynecological and Obstectrical Medical Group Incorporated
- Santa Monica Hand Therapy, Inc.
- Santa Monica Hospice, Inc.
- Santa Monica Medical Center
- Santa Monica Medical Center, Inc.
- Santa Monica Medical Institute Inc
- Santa Monica Neonatal Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.