Organization Active NPI

Hotel Pharmacy Inc

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1922029974
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HOTEL PHARMACY INC
Practice address
12200 Wilshire Blvd
102 B
Los Angeles, CA 90025-1200
Phone
(310) 826-4588
Fax
(310) 826-3709
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Behzad Niakan
Title
Pic
Phone
(310) 826-4588

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY39100 CA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

12200 Wilshire Blvd
102 B
Los Angeles, CA 90025-1200

Mailing address

PO Box 25817
Los Angeles, CA 90025-0817

Other identifiers 2

IdentifierTypeStateIssuer
0538744OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PHA391000MedicaidCA

Other names 1

  • AMHERST PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

12200 Wilshire Blvd
Ste 102B
Los Angeles, CA 90025
Phone (310) 826-4588

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": "1225411200000",
    "number": "1922029974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25817",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900250817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 WILSHIRE BLVD",
            "address_2": "102 B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251200",
            "telephone_number": "310-826-4588",
            "fax_number": "310-826-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOTEL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "NIAKAN",
        "authorized_official_first_name": "BEHZAD",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "310-826-4588"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY39100",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0538744",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA391000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMHERST 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 Oct 31, 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.