Century Pico Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY41037 Issued in CA

Legal business name

CENTURY PICO PHARMACY INC

Doing business as

Century Pico Pharmacy

Practice address

8722 W Pico Blvd
Los Angeles, CA 90035-2206

Phone

(310) 657-6999

Fax

(310) 657-7979

NPI assigned

Sep 12, 2006

Last updated

May 23, 2014By 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

Bahram Samouha, PHDNPI 1033287412

Title

Pharmacist in Charge/VP

Phone

(210) 657-6999

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CENTURY PICO PHARMACY Doing business as

Locations

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.

• Bahram Samouha, PHARM D

  • Pharmacist
  • Los Angeles, CA
  • NPI 1033287412
  NPD (past) Authorized official

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1770687725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8722 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352206",
            "telephone_number": "310-657-6999",
            "fax_number": "310-657-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8722 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352206",
            "telephone_number": "310-657-6999",
            "fax_number": "310-657-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY PICO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "SAMOUHA",
        "authorized_official_first_name": "BAHRAM",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/VP",
        "authorized_official_telephone_number": "210-657-6999",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY41037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995335",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA410370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTURY PICO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Century Plaza Ambulatory Surgery Center
• Century Surgery LLC
• Century Women Medical Group
• Century Women Medical Group
• Century Women Medical Group

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, 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 May 23, 2014; 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.