Active NPI
Clinishare Pharmacy Inc
- Long Term Care Pharmacy
- West Hills, CA
National Provider Identifier
1477638765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PHY46268
- Legal business name
- CLINISHARE PHARMACY INC
- Practice address
- 23719 Roscoe Blvd
West Hills, CA 91304-3041 - Phone
- (818) 835-9627
- Fax
- (818) 835-9673
- NPI assigned
- Oct 26, 2006
- 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
- Suthida Chea, RPH
- Title
- President/Pic
- Phone
- (818) 835-9627
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | PHY46268 | CA | Primary |
Addresses
Primary practice location
23719 Roscoe Blvd
West Hills, CA 91304-3041
Mailing address
23719 Roscoe Blvd
West Hills, CA 91304-3041
Phone (818) 835-9627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0589676 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- CLINISHARE PHARMACY
National Provider Directory
National Provider DirectoryLocations
23719 Roscoe Blvd
West Hills, CA 91304
Phone (818) 835-9627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302566400000",
"number": "1477638765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23719 ROSCOE BLVD",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913043041",
"telephone_number": "818-835-9627",
"fax_number": "818-835-9673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23719 ROSCOE BLVD",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913043041",
"telephone_number": "818-835-9627",
"fax_number": "818-835-9673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINISHARE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2011-04-12",
"status": "A",
"authorized_official_last_name": "CHEA",
"authorized_official_first_name": "SUTHIDA",
"authorized_official_title_or_position": "PRESIDENT/PIC",
"authorized_official_telephone_number": "818-835-9627",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "CA",
"license": "PHY46268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "0589676",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CLINISHARE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.