Westside Pharmacy Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY50065 Issued in CA

Legal business name

WESTSIDE PHARMACY CORPORATION

Doing business as

Westside Pharmacy

Practice address

11504 Santa Monica Blvd
Los Angeles, CA 90025-3008

Phone

(310) 479-0200

Fax

(310) 479-0220

NPI assigned

Aug 31, 2009

Organization subpart

No

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

Authorized official

Name

Farzad PiroozNPI 1003373473

Title

President

Phone

(310) 479-0200

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Westside Pharmacy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Farzad Jack Pirooz

  • Pharmacist
  • Los Angeles, CA
  • NPI 1003373473
  NPD Authorized official
• Janet Ahadi, PHARM.D

  • Pharmacist
  • Los Angeles, CA
  • NPI 1366807331
  NPD (past)

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1790918324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11504 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253008",
            "telephone_number": "310-479-0200",
            "fax_number": "310-479-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11504 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253008",
            "telephone_number": "310-479-0200",
            "fax_number": "310-479-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "PIROOZ",
        "authorized_official_first_name": "FARZAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-479-0200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "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": "PHY50065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121730",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790918324  01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Westside Multispecialty Surgery Center, LP
• Westside Neurotherapeutics Inc
• Westside Neurotherapeutics, LLC.
• Westside Occupational Therapy Inc
• Westside Pediatrics, Inc.
• Westside Psych, a Group Psychology Practice
• Westside Radiology & Dianostic Services, LLC.
• Westside Sober Living Centers
• Westside Technical Copr
• Westside Treatment, LLC. (Totality Treatment Center)

• 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 Apr 20, 2017; 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.