Active NPI
Picwood Corporation
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1881615847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY34513
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA345130 | Medicaid | CA | |
| 1999314 | Other | PK |
Other names 1
- PICWOOD PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.