Active NPI
Friendly Hills Medical Center Pharmacy Inc.
- Community/Retail Pharmacy
- Whittier, CA
National Provider Identifier
1811980253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY45632
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA456320 | Medicaid | CA |
Other names 1
- Bright Plaza Pharmacy
National Provider Directory
National Provider DirectoryNPI 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.