Plaza West Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHY41043 Issued in CA

Legal business name

PLAZA WEST PHARMACY

Practice address

8540 S Sepulveda Blvd Ste 102
Los Angeles, CA 90045-3810

Phone

(310) 645-6422

Fax

(310) 645-9570

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Alexandr Rotmansky

Title

Partner

Phone

(310) 645-6422

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yelena Goldin, RPH

  • Pharmacist
  • Los Angeles, CA
  • NPI 1932863107
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1477691129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453810",
            "telephone_number": "310-645-6422",
            "fax_number": "310-645-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453810",
            "telephone_number": "310-645-6422",
            "fax_number": "310-645-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA WEST PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "ROTMANSKY",
        "authorized_official_first_name": "ALEXANDR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-645-6422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY41043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA410430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plaza Community Center, Inc. (Plaza Community Services)
• Plaza Community Services
• Plaza Dental
• Plaza Eye & Surgery Center, a Medical Corporation
• Plaza Health Services Inc.
• Plaza-Towers OB/GYN
• Alfredo Plaza
• Gwendolyn Plaza
• Natalie Plaza
• Erick Plazo, PT, DPT

• Pharmacist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.