Emerson Pharmacy, Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY48754 Issued in CA

Legal business name

EMERSON PHARMACY, INC

Practice address

8400 Lincoln Blvd
Los Angeles, CA 90045-2416

Phone

(310) 670-3829

Fax

(877) 847-9589

NPI assigned

Oct 9, 2012

Organization subpart

No

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

Authorized official

Name

Joe Kohan

Title

Treasury

Phone

(310) 780-2844

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Loyola Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1780936237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 LINCOLN BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452416",
            "telephone_number": "310-670-3829",
            "fax_number": "877-847-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 LINCOLN BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452416",
            "telephone_number": "310-670-3829",
            "fax_number": "877-847-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERSON PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "KOHAN",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "TREASURY",
        "authorized_official_telephone_number": "310-780-2844"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY48754",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5645467",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loyola Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ethel Ihedinanwa Emenogu, NP
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• Emergency Physicians Urgent Care Inc.
• Emerson Pharmacy Inc
• George Allan Emerson, M.D.
• Jane F Emerson, MD
• Natacha Donoghue Emerson, MA
• Staci R. Emerson, PH.D.
• Benjamin Emert, MD

• All providers in Los Angeles, CA
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.