Active NPI
Compounding Pharmacy of Beverly Hills
- Pharmacist
- Beverly Hills, CA
National Provider Identifier
1962541631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHY43111
- Legal business name
- COMPOUNDING PHARMACY OF BEVERLY HILLS
- Practice address
- 9629 W Olympic Blvd
Beverly Hills, CA 90212-3716 - Phone
- (310) 284-8675
- Fax
- (310) 284-8680
- NPI assigned
- Feb 6, 2007
- Organization subpart
- Yes
- Parent organization
- SECUNDUM ARTEM INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elyse Filderman
- Title
- Pharmacist-in-Charge
- Phone
- (310) 284-8675
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHY43111 | CA | Primary |
Addresses
Primary practice location
9629 W Olympic Blvd
Beverly Hills, CA 90212-3716
Mailing address
9629 W Olympic Blvd
Beverly Hills, CA 90212-3716
Phone (310) 284-8675
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY43111 | Other | CA | PHARMACY STATE LICENSE # |
| 0580921 | Other | CA | NABP NUMBER |
National Provider Directory
National Provider Directory- Part of
- Compounding Pharmacy of Beverly Hills
Locations
9629 W Olympic Blvd
Beverly Hills, CA 90212
Phone (310) 284-8675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1962541631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9629 W OLYMPIC BLVD",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123716",
"telephone_number": "310-284-8675",
"fax_number": "310-284-8680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9629 W OLYMPIC BLVD",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123716",
"telephone_number": "310-284-8675",
"fax_number": "310-284-8680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPOUNDING PHARMACY OF BEVERLY HILLS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SECUNDUM ARTEM INC.",
"enumeration_date": "2007-02-06",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "FILDERMAN",
"authorized_official_first_name": "ELYSE",
"authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
"authorized_official_telephone_number": "310-284-8675",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "PHY43111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY STATE LICENSE #",
"identifier": "PHY43111",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP NUMBER",
"identifier": "0580921",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
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- Abigail Freeman Colyer
- Jessica Combs, M.D.
- Community Mental Health Associates, Inc
- Complete Care Hospice,Inc.
- Comprehensive Center for Viral Hepatitis Los Angeles PC
- Comprehensive Outpatient Surgery Ctr LP
- Concierge Physicians Group a Professional Corporation
- Concierge RX Inc
- Connect Wellness, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.