Active NPI
Pharmacorp, Inc
- Community/Retail Pharmacy
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY41968
- Legal business name
- PHARMACORP, INC
- Practice address
- 2530B San Vicente Blvd
Santa Monica, CA 90402-2321 - Phone
- (310) 393-0201
- Fax
- (310) 394-2712
- NPI assigned
- Dec 22, 2006
- 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
- Dr. Homayoun Namjo, PHARM.D
- Title
- President
- Phone
- (310) 393-0202
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY41968 | CA | Primary |
Addresses
Primary practice location
2530B San Vicente Blvd
Santa Monica, CA 90402-2321
Mailing address
2530B San Vicente Blvd
Santa Monica, CA 90402-2321
Phone (310) 393-0201
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0578558 | Other | CA | NCPDP |
| 1831254747 | Medicaid | CA |
Other names 2
- Brentwood Pharmacy
- PharmaCorp, Inc.
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | E-Script | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210413001422 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 4880002856 | Practice locations: Santa Monica, CA |
National Provider Directory
National Provider DirectoryLocations
214 26th St
Santa Monica, CA 90402
2530B San Vicente Blvd
Santa Monica, CA 90402
Phone (310) 393-0201
2530 San Vicente Blvd
#B
Santa Monica, CA 90402
Phone (310) 344-8586
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Santa Monica, CA
- NPI 1427531672
-
- Pharmacist
- Santa Monica, CA
- NPI 1992640924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727740800000",
"number": "1831254747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530B SAN VICENTE BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904022321",
"telephone_number": "310-393-0201",
"fax_number": "310-394-2712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530B SAN VICENTE BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904022321",
"telephone_number": "310-393-0201",
"fax_number": "310-394-2712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACORP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-22",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A",
"authorized_official_last_name": "NAMJO",
"authorized_official_first_name": "HOMAYOUN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-393-0202",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY41968",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "0578558",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831254747",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "E-Script",
"affiliation": "N",
"endpointDescription": "Electronic Prescribing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "none",
"address_1": "2530B San Vicente Blvd",
"city": "Santa Monica",
"state": "CA",
"country_code": "US",
"postal_code": "904022321",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Brentwood Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PharmaCorp, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.