Simisola Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY44305 Issued in CA

Legal business name

SIMISOLA PHARMACY INC

Doing business as

Simisola Pharmacy

Practice address

11011 Crenshaw Blvd
Ste 102
Inglewood, CA 90303-6330

Phone

(310) 677-6522

Fax

(310) 677-6562

NPI assigned

Oct 4, 2006

Last updated

Oct 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Markson B Alabi, CO

Title

President/ Ceo

Phone

(310) 677-6522

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• SIMISOLA PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1730274903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 CRENSHAW BLVD",
            "address_2": "STE 102",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903036330",
            "telephone_number": "310-677-6522",
            "fax_number": "310-677-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 CRENSHAW BLVD",
            "address_2": "STE 102",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903036330",
            "telephone_number": "310-677-6522",
            "fax_number": "310-677-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMISOLA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "ALABI",
        "authorized_official_first_name": "MARKSON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "310-677-6522",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHA443050",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY44305",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "PHA443050",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0513259",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA443050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMISOLA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harisharan Shrestha, M.D.
• Siamak Khakshooy D.D.S Inc.
• Angelica Sievers, MA
• Mariana Silva-Nichols, BSW
• Joseph David Silverstein, P.A.
• Deborah Simmons, RN
• Carol Marie Simon
• Ebony Sims
• Makasha Sims
• Sinal International Inc (sinai medical supply)

• Community/Retail Pharmacy in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.