Organization Active NPI

Village Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1508887555
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY41506 Issued in CA
Legal business name
VILLAGE PHARMACY
Practice address
3137 S Hoover St
Los Angeles, CA 90007-3196
Phone
(213) 749-2346
Fax
(213) 749-5270
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Authorized official

Name
Jay in Park
Title
Pic
Phone
(213) 749-2346

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY41506 CA Primary

Addresses

Primary practice location

3137 S Hoover St
Los Angeles, CA 90007-3196

Mailing address

3137 S Hoover St
Los Angeles, CA 90007-3196
Phone (213) 749-2346

Other identifiers 1

IdentifierTypeStateIssuer
0578508OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • VILLAGE PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1508887555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3137 S HOOVER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073196",
            "telephone_number": "213-749-2346",
            "fax_number": "213-749-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 S HOOVER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073196",
            "telephone_number": "213-749-2346",
            "fax_number": "213-749-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAY IN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "213-749-2346"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY41506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0578508",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAGE 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 May 7, 2012; 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.