Organization Active NPI

Twin Pharmacy Inc.

  • Long Term Care Pharmacy
  • Los Angeles, CA
National Provider Identifier
1710034657
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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

Updated by the provider on Mar 1, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0506610OtherCANCPDP
PHA467450OtherCAMEDI-CAL
PHY46745OtherCACALIFORNIA PHARM LICENSE

Other names 1

  • Dabney's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930099689 CA DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 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 NPIMap

These 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

SupplierSuppliesMedicare assignment
Dabney'S Pharmacy11115 S Main St, Los Angeles, CA 90061-1925(323) 757-3111 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 assignmentParticipating since Nov 2, 2020

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.