Organization Active NPI

Clinishare Pharmacy Inc

  • Long Term Care Pharmacy
  • West Hills, CA
National Provider Identifier
1477638765
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY46268 Issued in CA
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

Updated by the provider on Apr 12, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0589676OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • CLINISHARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.