Organization Active NPI

Southwood Pharmacy Inc

  • Community/Retail Pharmacy
  • Torrance, CA
National Provider Identifier
1609330471
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SOUTHWOOD PHARMACY INC
Practice address
22220 Palos Verdes Blvd
Torrance, CA 90505-2017
Phone
(310) 259-0424
NPI assigned
Jan 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Uyen TranNPI 1366725517
Title
Owner
Phone
(310) 802-9891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

22220 Palos Verdes Blvd
Torrance, CA 90505-2017

Mailing address

22220 Palos Verdes Blvd
Torrance, CA 90505-2017

Other names 1

  • Southwood Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191115002450 CA Part B Supplier - Mass Immunization (Roster Biller Only) 7315379195 Practice locations: Torrance, CA
O20200217000825 CA DME Supplier - Pharmacy 7315379195 Practice locations: Torrance, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Southwood Pharmacy22220 Palos Verdes Blvd, Torrance, CA 90505-2017(424) 350-7995 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since May 1, 2019

National Provider Directory

National Provider Directory

Locations

22220 Palos Verdes Blvd
Torrance, CA 90505
Phone (310) 259-0424

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1609330471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22220 PALOS VERDES BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22220 PALOS VERDES BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052017",
            "telephone_number": "310-259-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWOOD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "UYEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-802-9891"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.