Olympic Community Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OLYMPIC COMMUNITY PHARMACY INC

Doing business as

Olympic Community Pharmacy Inc

Practice address

9117 W Olymic Blvd
Beverly Hills, CA 90212-3507

Phone

(310) 708-0161

Fax

(310) 708-0163

NPI assigned

Feb 4, 2020

Organization subpart

No

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

Authorized official

Name

Ajmin Shahmirzayan, PHARM DNPI 1437764990

Title

President/Ceo/Cfo/Secretary/Directo

Phone

(310) 708-0161

Specialties & licenses 1

Addresses

Other names 1

• OLYMPIC COMMUNITY PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Ajmin Shahmirzayan

  • Pharmacist
  • Burbank, CA
  • NPI 1437764990
  NPD Authorized official
• Nooshin Amirtabar, PHARMD

  • Pharmacist
  • Glendale, CA
  • NPI 1942948815
  NPD
• Christine Amanda Gedjeyan, PHARMD

  • Pharmacist
  • Glendale, CA
  • NPI 1124662473
  NPD

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1689206047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9117 W OLYMIC BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123507",
            "telephone_number": "310-708-0161",
            "fax_number": "310-708-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9117 W OLYMIC BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123507",
            "telephone_number": "310-708-0161",
            "fax_number": "310-708-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC COMMUNITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2024-02-07",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "SHAHMIRZAYAN",
        "authorized_official_first_name": "AJMIN",
        "authorized_official_title_or_position": "PRESIDENT/CEO/CFO/SECRETARY/DIRECTO",
        "authorized_official_telephone_number": "310-708-0161",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLYMPIC COMMUNITY PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert A Olson, CRNA, M.S
• Olusinmi Bamgbose M.D., Inc
• Veronica I Olvera, PSYD
• Nazanin Skyla Olyaei, DDS
• Olympic Anesthesia Partnership
• Oma Healing Inc (Anna Bobba MD)
• Omeed Warej MD, a Professional Medical
• Omeed Warej MD, a Professional Medical Corp
• Omega Choice Inc
• Saghar Sarah Omid, M.F.T.

• Community/Retail Pharmacy in Beverly Hills, CA
• Providers in Beverly Hills, 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 Feb 7, 2024; 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.