Friendly Hills Medical Center Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY40712 Issued in CA

Legal business name

FRIENDLY HILLS MEDICAL CENTER PHARMACY INC

Doing business as

friendly hills pharmacy

Practice address

15141 E Whittier Blvd
Suite 115
Whittier, CA 90603-2135

Phone

(562) 693-3791

Fax

(562) 945-9540

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Jay Rudolph, PHARM.D.NPI 1942499058

Title

President

Phone

(562) 693-3791

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• friendly hills pharmacy Doing business as

Tax ID family

Bright la Mirada Pharmacy2 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.

• Friendly Hills Medical Center Pharmacy Inc

  dba Bright La Mirada Pharmacy

  • Community/Retail Pharmacy
  • La Mirada, CA
  • NPI 1053452227
  NPD tax ID

Locations

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.

• Michael Jay Rudolph, PHARM.D.

  • Pharmacist
  • Whittier, CA
  • NPI 1942499058
  Authorized official Same address or phone

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1861551392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15141 E WHITTIER BLVD",
            "address_2": "SUITE 115",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032135",
            "telephone_number": "562-693-3791",
            "fax_number": "562-945-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15141 E WHITTIER BLVD",
            "address_2": "SUITE 115",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032135",
            "telephone_number": "562-693-3791",
            "fax_number": "562-945-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY HILLS MEDICAL CENTER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-693-3791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY40712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA407120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "friendly hills pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jack Freimann, M.D.
• Alejandro Joseph Freire, C.P.,B.O.C.O
• Ramiro C. Freire, BOCO
• David J French, PHD
• Fresh Start Holdings LLC (FirstLight Home Care)
• Friendly Hills Medical Center Pharmacy Inc. (Bright Plaza Pharmacy)
• Friends of Family Health Center
• Ty H Frisch, PHARM. D
• Rebecca Frost, SLPA 1157
• Angela Ngan-CHI Fu, O.D.

• Community/Retail Pharmacy in Whittier, CA
• Providers in Whittier, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.