Organization Active NPI

Bodystore Inc

Doing business as Hospicare Pharmacy Los Angeles

  • Long Term Care Pharmacy
  • Burbank, CA
National Provider Identifier
1700897295
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BODYSTORE INC
Doing business as
Hospicare Pharmacy Los Angeles
Practice address
3000 N Hollywood Way Ste 103
Burbank, CA 91505-1026
Phone
(818) 736-5828
Fax
(818) 736-5838
NPI assigned
Aug 10, 2006
Last updated
May 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
Jensen Chang, PHARM.D.NPI 1407922925
Title
Ceo
Phone
(818) 736-5828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

3000 N Hollywood Way Ste 103
Burbank, CA 91505-1026

Mailing address

PO Box 370
San Dimas, CA 91773-0370
Phone (818) 736-5828

Other identifiers 2

IdentifierTypeStateIssuer
1997864OtherPK
PHA46900MedicaidCA

Other names 1

  • HOSPICARE PHARMACY LOS ANGELES Doing business as

National Provider Directory

National Provider Directory

Locations

3000 N Hollywood Way
Ste 103
Burbank, CA 91505
Phone (818) 736-5828

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1700897295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917730370",
            "telephone_number": "818-736-5828",
            "fax_number": "818-736-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HOLLYWOOD WAY STE 103",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051026",
            "telephone_number": "818-736-5828",
            "fax_number": "818-736-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYSTORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JENSEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-736-5828",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1997864",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA46900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOSPICARE PHARMACY LOS ANGELES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.