Organization Active NPI

Abc Pharmacy of Beverly Hills Inc

Doing business as Abc Pharmacy of Beverly Hills

  • Community/Retail Pharmacy
  • Beverly Hills, CA
National Provider Identifier
1497130405
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 53601 Issued in CA
Legal business name
ABC PHARMACY OF BEVERLY HILLS INC
Doing business as
Abc Pharmacy of Beverly Hills
Practice address
9033 Wilshire Blvd
#102
Beverly Hills, CA 90211-1837
Phone
(310) 777-0052
Fax
(310) 777-0149
NPI assigned
Jul 21, 2015
Last updated
Jul 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
Dr. Arkaidy E Khaimov, PHARM D
Title
President/Pic
Phone
(310) 777-0052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY 53601 CA Primary

Addresses

Primary practice location

9033 Wilshire Blvd
#102
Beverly Hills, CA 90211-1837

Mailing address

9033 Wilshire Blvd
#102
Beverly Hills, CA 90211-1837
Phone (310) 777-0052

Other names 1

  • ABC PHARMACY OF BEVERLY HILLS Doing business as

National Provider Directory

National Provider Directory

Locations

9033 Wilshire Blvd
Ste 102
Beverly Hills, CA 90211
Phone (310) 777-0052

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1497130405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 WILSHIRE BLVD",
            "address_2": "#102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111837",
            "telephone_number": "310-777-0052",
            "fax_number": "310-777-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 WILSHIRE BLVD",
            "address_2": "#102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111837",
            "telephone_number": "310-777-0052",
            "fax_number": "310-777-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PHARMACY OF BEVERLY HILLS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "KHAIMOV",
        "authorized_official_first_name": "ARKAIDY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "310-777-0052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 53601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC PHARMACY OF BEVERLY HILLS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.