Active NPI
Hotel Pharmacy Inc
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1922029974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0538744 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| PHA391000 | Medicaid | CA |
Other names 1
- AMHERST PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.