South Western Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

48238 Issued in CA

Legal business name

SOUTH WESTERN PHARMACY

Practice address

7301 South Western Ave
Los Angeles, CA 90047-2254

Phone

(323) 752-1692

Fax

(323) 752-0710

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Martha Tumban

Title

Pharmacist in Charge

Phone

(323) 752-1692

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

South Western Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Western Pharmacy

  • Pharmacist
  • Los Angeles, CA
  • NPI 1467431791
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1992871206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900472254",
            "telephone_number": "323-752-1692",
            "fax_number": "323-752-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 SOUTH WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900472254",
            "telephone_number": "323-752-1692",
            "fax_number": "323-752-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WESTERN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "TUMBAN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "323-752-1692",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "48238",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "21317",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY32368",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Healthcare Center LLC
• South la Eye Clinic
• South Los Angeles Medical Group Professional Corporation
• South Oc Open Arms
• South Western Pharmacy
• Bienville South
• Reginald John Southall III
• Southcentrallosangelesregionalcenterforthedevelopmentallydisabledinc
• Michael McKinley Southerland, MS, LMFT 87924
• Southern California Cardiothoracic and Vascular Surgeons

• Pharmacist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.