NPIMap

Organization Active NPI

Apla Health & Wellness

Doing business as APLA Health Pharmacy

  • Pharmacy
  • West Hollywood, CA
National Provider Identifier
1801658497
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
APLA HEALTH & WELLNESS
Doing business as
APLA Health Pharmacy
Practice address
7531 Santa Monica Blvd Ste 201
West Hollywood, CA 90046-6458
Phone
(323) 643-7030
NPI assigned
Jan 29, 2024
Last updated
Sep 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Joseph Moldovan
Title
Chief Clinical Operations Officer
Phone
(213) 201-1411

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU Primary
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X NU
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

7531 Santa Monica Blvd Ste 201
West Hollywood, CA 90046-6458

Mailing address

611 S Kingsley Dr
Los Angeles, CA 90005-2319

Other names 1

  • APLA Health Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241113004680 CA Part B Supplier - Pharmacy 4385875236 Practice locations: West Hollywood, CA

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Apla Health Wellness12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7531 Santa Monica Blvd
Ste 201
West Hollywood, CA 90046
Phone (213) 201-1437

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Apla Health & Wellness - David Geffen CenterLos Angeles, CA, CCN 751061 Federally qualified health center Other (100%) Oct 9, 2012
Apla Health - Olympic #310Los Angeles, CA, CCN 921032 Federally qualified health center Other Oct 22, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1801658497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S KINGSLEY DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7531 SANTA MONICA BLVD STE 201",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466458",
            "telephone_number": "323-643-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APLA HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "MOLDOVAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF CLINICAL OPERATIONS OFFICER",
        "authorized_official_telephone_number": "213-201-1411"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APLA Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "APLA Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.