Organization Active NPI

Airport Pharmacy

  • Community/Retail Pharmacy
  • Santa Monica, CA
National Provider Identifier
1609897669
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY40734 Issued in CA
Legal business name
AIRPORT PHARMACY
Practice address
3250 Pico Blvd
Santa Monica, CA 90405-2114
Phone
(310) 450-7555
Fax
(310) 450-6401
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Sakamoto, PHARMD
Title
Owner
Phone
(310) 450-6248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY40734 CA Primary

Addresses

Primary practice location

3250 Pico Blvd
Santa Monica, CA 90405-2114

Mailing address

3250 Pico Blvd
Santa Monica, CA 90405-2114

Other identifiers 2

IdentifierTypeStateIssuer
PHA407340MedicaidCA
0501127OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

3250 Pico Blvd
Santa Monica, CA 90405
Phone (310) 450-7555

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": "1598054400000",
    "number": "1609897669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 PICO BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 PICO BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052114",
            "telephone_number": "310-450-7555",
            "fax_number": "310-450-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRPORT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAKAMOTO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-450-6248",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY40734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA407340",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0501127",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.