Organization Active NPI

Santa Monica Homeopathic Phy

  • Community/Retail Pharmacy
  • Santa Monica, CA
National Provider Identifier
1467851352
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY40946 Issued in CA
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

Updated by the provider on Aug 18, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2004729OtherPK

Other names 1

  • SANTA MONICA HOMEOPATHIC PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.