Active NPI
El Segundo Pharmacy Inc
- Community/Retail Pharmacy
- El Segundo, CA
National Provider Identifier
1689414120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- EL SEGUNDO PHARMACY INC
- Practice address
- 827 N Douglas St
El Segundo, CA 90245-2801 - Phone
- (424) 321-8273
- NPI assigned
- May 31, 2024
- 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
- Christopher O'Keefe
- Title
- President
- Phone
- (424) 321-8273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
827 N Douglas St
El Segundo, CA 90245-2801
Mailing address
827 N Douglas St
El Segundo, CA 90245-2801
Phone (424) 321-8273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY59486 | Other | CA | STATE LICENSE NUMBER |
Other names 1
- La Pharmacie du Pacifique
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240823003023 | CA | Part B Supplier - Pharmacy | 9335688118 | Practice locations: El Segundo, CA |
| O20241023000307 | CA | DME Supplier - Pharmacy | 9335688118 | Practice locations: El Segundo, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| El Segundo Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
827 N Douglas St
El Segundo, CA 90245
Phone (424) 321-8273
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Beverly Hills, CA
- NPI 1265806889
-
- Pharmacist
- Torrance, CA
- NPI 1780222778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717113600000",
"number": "1689414120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 N DOUGLAS ST",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902452801",
"telephone_number": "424-321-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 N DOUGLAS ST",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902452801",
"telephone_number": "424-321-8273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EL SEGUNDO PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-31",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A",
"authorized_official_last_name": "O'KEEFE",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "424-321-8273"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "PHY59486",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "La Pharmacie du Pacifique",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.