Active NPI
JCH Pharmacy la, Inc.
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1619217544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- JCH PHARMACY LA, INC.
- Practice address
- 8408 Beverly Blvd
Los Angeles, CA 90048-3402 - Phone
- (310) 358-2400
- Fax
- (310) 358-2410
- NPI assigned
- Mar 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joshua Noel Thorburn, R.PH.
- Title
- Ceo
- Phone
- (310) 358-2400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 53785 | CA | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
8408 Beverly Blvd
Los Angeles, CA 90048-3402
Mailing address
8408 Beverly Blvd
Los Angeles, CA 90048-3402
Phone (310) 358-2400
Other names 1
- Eddie's Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210406002087 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2466869656 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider Directory- Tax ID family
- JCH Pharmacy la Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Los Angeles, CA
- NPI 1457181984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683244800000",
"number": "1619217544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8408 BEVERLY BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900483402",
"telephone_number": "310-358-2400",
"fax_number": "310-358-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8408 BEVERLY BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900483402",
"telephone_number": "310-358-2400",
"fax_number": "310-358-2410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JCH PHARMACY LA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-01",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A",
"authorized_official_last_name": "THORBURN",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "NOEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-358-2400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "53785",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eddie's Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Eddie's Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.