Organization Active NPI

Olice Arnold Jr.

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1669535993
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY36854 Issued in CA
Legal business name
OLICE ARNOLD JR.
Practice address
2171 W Florence Ave
Los Angeles, CA 90047-2141
Phone
(323) 759-4475
Fax
(323) 759-2178
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Mr. Olice Arnold Jr., RPH
Title
Owner
Phone
(323) 759-4475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PHY36854 CA Primary

Addresses

Primary practice location

2171 W Florence Ave
Los Angeles, CA 90047-2141

Mailing address

2171 W Florence Ave
Los Angeles, CA 90047-2141
Phone (323) 759-4475

Other identifiers 3

IdentifierTypeStateIssuer
0514364OtherCANABP
PHA157680MedicaidCA
PHY36854OtherCAPHARMACY LISC #

National Provider Directory

National Provider Directory

Locations

2171 W Florence Ave
Los Angeles, CA 90047
Phone (323) 759-4475

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1669535993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 W FLORENCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900472141",
            "telephone_number": "323-759-4475",
            "fax_number": "323-759-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 W FLORENCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900472141",
            "telephone_number": "323-759-4475",
            "fax_number": "323-759-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLICE ARNOLD JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "OLICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-759-4475",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY36854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0514364",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA157680",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LISC #",
            "identifier": "PHY36854",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 29, 2011; 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.