Organization Active NPI

Simon's Discount Pharmacy, Inc.

Doing business as Simons Discount Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1538105515
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY34468 Issued in CA
Legal business name
SIMON'S DISCOUNT PHARMACY, INC.
Doing business as
Simons Discount Pharmacy
Practice address
7256 W Sunset Blvd
Los Angeles, CA 90046-3410
Phone
(323) 874-2507
Fax
(323) 874-3508
NPI assigned
Jun 20, 2006
Last updated
Apr 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Mrs. Mary Askander Ibrahim, R.PH
Title
Chief Pharmacist/Owner
Phone
(323) 874-2507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY34468 CA Primary

Addresses

Primary practice location

7256 W Sunset Blvd
Los Angeles, CA 90046-3410

Mailing address

7256 W Sunset Blvd
Los Angeles, CA 90046-3410
Phone (323) 874-2507

Other identifiers 1

IdentifierTypeStateIssuer
PHA344680MedicaidCA

Other names 1

  • SIMONS DISCOUNT 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": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1538105515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7256 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463410",
            "telephone_number": "323-874-2507",
            "fax_number": "323-874-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7256 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463410",
            "telephone_number": "323-874-2507",
            "fax_number": "323-874-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON'S DISCOUNT PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ASKANDER",
        "authorized_official_title_or_position": "CHIEF PHARMACIST/OWNER",
        "authorized_official_telephone_number": "323-874-2507",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY34468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA344680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMONS DISCOUNT 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 Apr 25, 2014; 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.