Organization Active NPI

Friendly Hills Medical Center Pharmacy Inc.

  • Community/Retail Pharmacy
  • Whittier, CA
National Provider Identifier
1811980253
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY45632 Issued in CA
Legal business name
FRIENDLY HILLS MEDICAL CENTER PHARMACY INC.
Practice address
15725 E Whittier Blvd
Suite a
Whittier, CA 90603-2343
Phone
(562) 943-7500
Fax
(562) 947-0446
NPI assigned
Aug 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Authorized official

Name
Mr. Michael Jay Rudolph, PHARM D
Title
Manager
Phone
(562) 943-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY45632 CA Primary

Addresses

Primary practice location

15725 E Whittier Blvd
Suite a
Whittier, CA 90603-2343

Mailing address

15725 E Whittier Blvd
Suite a
Whittier, CA 90603-2343
Phone (562) 943-7500

Other identifiers 1

IdentifierTypeStateIssuer
PHA456320MedicaidCA

Other names 1

  • Bright Plaza Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1811980253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 E WHITTIER BLVD",
            "address_2": "SUITE A",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032343",
            "telephone_number": "562-943-7500",
            "fax_number": "562-947-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 E WHITTIER BLVD",
            "address_2": "SUITE A",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032343",
            "telephone_number": "562-943-7500",
            "fax_number": "562-947-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY HILLS MEDICAL CENTER PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "562-943-7500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY45632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA456320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Plaza Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.