Organization Active NPI

Encompass Pharmacy, Inc

Doing business as Western Medical Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1861122061
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ENCOMPASS PHARMACY, INC
Doing business as
Western Medical Pharmacy
Practice address
1110 N Western Ave Ste 101
Los Angeles, CA 90029-1199
Phone
(323) 465-3112
Fax
(323) 465-2605
NPI assigned
Jun 13, 2022
Last updated
Jun 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Edward H LeeNPI 1770973950
Title
Ceo
Phone
(213) 480-1503

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1110 N Western Ave Ste 101
Los Angeles, CA 90029-1199

Mailing address

1110 N Western Ave Ste 101
Los Angeles, CA 90029-1199
Phone (323) 465-3112

Other names 1

  • Western Medical Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230216000539 CA Part B Supplier - Pharmacy 7113399379 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory
Tax ID family
Encompass Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1110 N Western Ave
Ste 101
Los Angeles, CA 90029
Phone (323) 465-3112

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": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1861122061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N WESTERN AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291199",
            "telephone_number": "323-465-3112",
            "fax_number": "323-465-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N WESTERN AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291199",
            "telephone_number": "323-465-3112",
            "fax_number": "323-465-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCOMPASS PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-480-1503"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.

Verify at the official NPI Registry.