Beverly Professional Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY33172 Issued in CA

Legal business name

BEVERLY PROFESSIONAL PHARMACY

Practice address

433 N 4TH St Ste 100
Montebello, CA 90640-4313

Phone

(323) 728-0248

Fax

(323) 728-9099

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mahesh Patel

Title

Owner/Pharmacist

Phone

(323) 728-0248

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1598877581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N 4TH ST",
            "address_2": "SUITE 100",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404399",
            "telephone_number": "323-728-0248",
            "fax_number": "323-728-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N 4TH ST STE 100",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404313",
            "telephone_number": "323-728-0248",
            "fax_number": "323-728-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY PROFESSIONAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "323-728-0248"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY33172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2066032",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA331720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Beverlycare
• Beverlycare
• Beverlycare
• Beverlycare

• Community/Retail Pharmacy in Montebello, CA
• Providers in Montebello, 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 Jan 9, 2018; 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.