Atazak Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY53371 Issued in CA

Legal business name

ATAZAK INC

Practice address

2860 Artesia Blvd
Redondo Beach, CA 90278-3421

Phone

(310) 371-7541

Fax

(310) 542-1488

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Ahmed AtallahNPI 1003285875

Title

President

Phone

(310) 951-4456

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kovacs-Frey Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Ahmed Sadek Atallah, PHD, RPH

  • Pharmacist
  • Torrance, CA
  • NPI 1003285875
  NPD Authorized official
• Sara Samara Atallah, PHARMD

  • Pharmacist
  • Redondo Beach, CA
  • NPI 1699154823
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1619047826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 ARTESIA BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783421",
            "telephone_number": "310-371-7541",
            "fax_number": "310-542-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 ARTESIA BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783421",
            "telephone_number": "310-371-7541",
            "fax_number": "310-542-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATAZAK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "ATALLAH",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-951-4456"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY53371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154379",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kovacs-Frey Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Afshin Ashfaei, M.D.
• Nayna P Asodia
• Ihsan J Assaf, MFT INTERN
• Associated Counselors & Therapists
• Sara Samara Atallah, PHARMD
• Atlas Home Care LLC
• Attain Health Home Health Inc
• Ronald L Attrell, LCSW
• Jennifer Auf Der Springe, M.D., M.P.H.
• Lawrence N August, M.D.

• Community/Retail Pharmacy in Redondo Beach, CA
• Providers in Redondo Beach, 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 Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.