Active NPI
Twin Pharmacy Inc.
- Long Term Care Pharmacy
- Los Angeles, CA
National Provider Identifier
1710034657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- TWIN PHARMACY INC.
- Practice address
- 11115 S Main St
Los Angeles, CA 90061-1925 - Phone
- (323) 757-2263
- Fax
- (323) 757-7792
- NPI assigned
- Jan 4, 2007
- 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
- Ms. Denise E Wilson Ruane
- Title
- Secretary Officer
- Phone
- (323) 757-2263
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | CA | Primary |
Addresses
Primary practice location
11115 S Main St
Los Angeles, CA 90061-1925
Mailing address
11115 S Main St
Los Angeles, CA 90061-1925
Phone (323) 757-2263
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0506610 | Other | CA | NCPDP |
| PHA467450 | Other | CA | MEDI-CAL |
| PHY46745 | Other | CA | CALIFORNIA PHARM LICENSE |
Other names 1
- Dabney's Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930099689 | CA | DME Supplier - Pharmacy | 7315157237 | Practice locations: Los Angeles, CA |
| O20201116002278 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7315157237 | Practice locations: Los Angeles, 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 |
|---|---|---|
| Dabney'S Pharmacy | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order) | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
11115 S Main St
Los Angeles, CA 90061
Phone (323) 757-2263
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Paso Robles, CA
- NPI 1861805897
-
- Pharmacist
- Lewistown, MT
- NPI 1073053492
-
- Pharmacy Technician
- Los Angeles, CA
- NPI 1952621021
-
- Pharmacist
- Los Angeles, CA
- NPI 1306385646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551398400000",
"number": "1710034657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11115 S MAIN ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900611925",
"telephone_number": "323-757-2263",
"fax_number": "323-757-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11115 S MAIN ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900611925",
"telephone_number": "323-757-2263",
"fax_number": "323-757-7792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWIN PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2019-03-01",
"status": "A",
"authorized_official_last_name": "WILSON RUANE",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "SECRETARY OFFICER",
"authorized_official_telephone_number": "323-757-2263",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "0506610",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "PHA467450",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA PHARM LICENSE",
"identifier": "PHY46745",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dabney's Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 1, 2019; 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.