Platinum Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

54308 Issued in CA

Legal business name

PLATINUM PHARMACY INC.

Doing business as

Platinum Pharmacy.

Practice address

1377 Westwood Blvd
Los Angeles, CA 90024-4940

Phone

(310) 444-7979

Fax

(310) 444-7971

NPI assigned

Sep 14, 2011

Organization subpart

No

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

Authorized official

Name

Maryem Akhavanroofigar, RPH

Title

Owner/Pic

Phone

(310) 709-3581

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Platinum Pharmacy. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Platinum Pharmacy Inc

  dba Farmacia Superior

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1316368590

  O20171016003188

  Same enrollment

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

Tax ID family

Platinum Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Platinum Pharmacy Inc

  dba Farmacia Superior

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1316368590
  NPD tax ID

Locations

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1568744647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 WESTWOOD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244940",
            "telephone_number": "310-444-7979",
            "fax_number": "310-444-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 WESTWOOD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244940",
            "telephone_number": "310-444-7979",
            "fax_number": "310-444-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "AKHAVANROOFIGAR",
        "authorized_official_first_name": "MARYEM",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "310-709-3581",
        "authorized_official_credential": "RPH"
    },
    "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": "54308",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131925",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Pharmacy.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Ilene Plate, LCSW
• Julio German Platero
• Sania Platero
• Platinum Home Health Inc
• Platinum Pharmacy Inc (Farmacia Superior)
• Leah Ronit Platkin, LCSW
• Alejandro Bolivar Platon, D.C., C.C.S.P
• Lolita Platon
• Lawrence David Platt, M.D.
• Brian E. Platz, MD

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.