Organization Active NPI

Venice Pharmacy Inc

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1487842738
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY48823 Issued in CA
Legal business name
VENICE PHARMACY INC
Practice address
1511 S Vermont Ave # 1
Los Angeles, CA 90006-4505
Phone
(213) 381-6087
Fax
(213) 381-6085
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Parnaz FarnadNPI 1700074010
Title
Pic
Phone
(310) 502-2503

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY48823 CA Primary

Addresses

Primary practice location

1511 S Vermont Ave # 1
Los Angeles, CA 90006-4505

Mailing address

1511 S Vermont Ave # 1
Los Angeles, CA 90006-4505
Phone (213) 381-6087

Other identifiers 1

IdentifierTypeStateIssuer
5628384OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • VENICE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930024497 CA DME Supplier - Pharmacy 6204033814 Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Venice Pharmacy1511 S Vermont Ave, Los Angeles, CA 90006-4505(213) 381-6087 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Aug 25, 2008

National Provider Directory

National Provider Directory

Locations

1514 S Vermont Ave
Ste I-2
Los Angeles, CA 90006
Phone (213) 381-6087

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": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1487842738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 S VERMONT AVE # 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064505",
            "telephone_number": "213-381-6087",
            "fax_number": "213-381-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 S VERMONT AVE # 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064505",
            "telephone_number": "213-381-6087",
            "fax_number": "213-381-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENICE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "FARNAD",
        "authorized_official_first_name": "PARNAZ",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "310-502-2503"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5628384",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VENICE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VENICE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.