Organization Active NPI

Picwood Corporation

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1881615847
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY34513 Issued in CA
Legal business name
PICWOOD CORPORATION
Practice address
2370 Westwood Blvd
Los Angeles, CA 90064-2181
Phone
(310) 475-6006
Fax
(310) 441-0387
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Siamac Zakhor
Title
Chief Pharmacist Owner
Phone
(310) 475-6006

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY34513 CA Primary

Addresses

Primary practice location

2370 Westwood Blvd
Los Angeles, CA 90064-2181

Mailing address

2370 Westwood Blvd
Los Angeles, CA 90064-2181
Phone (310) 475-6006

Other identifiers 2

IdentifierTypeStateIssuer
PHA345130MedicaidCA
1999314OtherPK

Other names 1

  • PICWOOD PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2370 Westwood Blvd
Los Angeles, CA 90064
Phone (310) 475-6006

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1881615847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 WESTWOOD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642181",
            "telephone_number": "310-475-6006",
            "fax_number": "310-441-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 WESTWOOD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642181",
            "telephone_number": "310-475-6006",
            "fax_number": "310-441-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICWOOD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "ZAKHOR",
        "authorized_official_first_name": "SIAMAC",
        "authorized_official_title_or_position": "CHIEF PHARMACIST OWNER",
        "authorized_official_telephone_number": "310-475-6006"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY34513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA345130",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1999314",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PICWOOD 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 Feb 28, 2017; 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.