Active NPI
Philip William Banks, PHARM.D.
- Pharmacist
- Porter Ranch, CA
National Provider Identifier
1902093552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47038
- Practice address
- 11167 Tampa Ave
Porter Ranch, CA 91326-2254 - Phone
- (818) 360-1915
- Fax
- (818) 368-4987
- NPI assigned
- Sep 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 47038 | CA | Primary |
| Geriatric Pharmacist | 1835G0303X | 47038 | CA | |
| Pharmacotherapy Pharmacist | 1835P1200X | 47038 | CA |
Addresses
Primary practice location
11167 Tampa Ave
Porter Ranch, CA 91326-2254
Mailing address
11167 Tampa Ave
Porter Ranch, CA 91326-2254
Phone (818) 360-1915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH 47038 | Other | CA | PHARMACIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47038 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1902093552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11167 TAMPA AVE",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913262254",
"telephone_number": "818-360-1915",
"fax_number": "818-368-4987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11167 TAMPA AVE",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913262254",
"telephone_number": "818-360-1915",
"fax_number": "818-368-4987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "PHILIP",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-27",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "47038",
"primary": true
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "CA",
"license": "47038",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "47038",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "RPH 47038",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Porter Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.