Lauren Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH7327640 Issued in CA

Legal business name

LAUREN PHARMACY INC

Practice address

13686 Van Nuys Blvd
Pacoima, CA 91331-3616

Phone

(818) 896-1104

Fax

(818) 896-7299

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Barry Howard Wise, BS RPHNPI 1679698666

Title

President/Owner

Phone

(818) 896-1104

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laurel Pharmacy Doing business as

Locations

Practitioners 2

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

• Barry Howard Wise, RPH

  • Pharmacist
  • Pacoima, CA
  • NPI 1679698666
  NPD (past) Authorized official
• Esther Guzman

  • Pharmacy Technician
  • Pacoima, CA
  • NPI 1053436022
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700876463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13686 VAN NUYS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313616",
            "telephone_number": "818-896-1104",
            "fax_number": "818-896-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13686 VAN NUYS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313616",
            "telephone_number": "818-896-1104",
            "fax_number": "818-896-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "818-896-1104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PH7327640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH732764",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elena Kuglen-Alvarez
• Julie Amanda Lacumbre, MFT
• Paytyn Laker, CNM, WHNP-BC
• Elsa Sarah Lalahzari, DDS
• Brianne Nicole Lange
• Inga Lavrova
• Gabriella Michelle Lazo
• Mayte Ledea, VN683088
• Jae Lee
• Edelin Lemus

• Pharmacy in Pacoima, CA
• Providers in Pacoima, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.