Organization Active NPI

Brent-Air Pharmacy Inc

Doing business as Brent Air Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1861570376
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY48616 Issued in CA
Legal business name
BRENT-AIR PHARMACY INC
Doing business as
Brent Air Pharmacy
Practice address
134 S Barrington Ave
Los Angeles, CA 90049-3309
Phone
(310) 476-2211
Fax
(310) 472-8659
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Ashraf ZakyNPI 1629501747
Title
Ceo and Pharmacist in Charge
Phone
(310) 476-2211

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY48616 CA Primary

Addresses

Primary practice location

134 S Barrington Ave
Los Angeles, CA 90049-3309

Mailing address

134 S Barrington Ave
Los Angeles, CA 90049-3309
Phone (310) 476-2211

Other identifiers 1

IdentifierTypeStateIssuer
1992063OtherPK

Other names 1

  • BRENT AIR PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930100416 CA DME Supplier - Pharmacy 1052431665 Practice locations: Los Angeles, CA
O20210413000675 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1052431665 Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Brent-Air Pharmacy134 S Barrington Ave, Los Angeles, CA 90049-3309(310) 476-2211 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Nov 19, 2009

National Provider Directory

National Provider Directory

Locations

134 S Barrington Ave
Los Angeles, CA 90049
Phone (310) 351-9129

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1861570376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S BARRINGTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900493309",
            "telephone_number": "310-476-2211",
            "fax_number": "310-472-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 S BARRINGTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900493309",
            "telephone_number": "310-476-2211",
            "fax_number": "310-472-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT-AIR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "ZAKY",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_title_or_position": "CEO AND PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "310-476-2211"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1992063",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRENT AIR 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 Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.