Golden Wellness RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY49210 Issued in CA

Legal business name

GOLDEN WELLNESS RX INC

Practice address

1230 Montana Ave Ste 106
Santa Monica, CA 90403

Phone

(310) 451-2828

Fax

(310) 451-1118

NPI assigned

Sep 29, 2008

Organization subpart

No

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

Authorized official

Name

Amanda ParhamiNPI 1891196465

Title

President

Phone

(310) 488-0818

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Golden Wellness Rx Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Parhami

  • Pharmacist
  • Santa Monica, CA
  • NPI 1891196465
  NPD (past) Authorized official

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1992955793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 MONTANA AVE STE 106",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035986",
            "telephone_number": "310-451-2828",
            "fax_number": "310-451-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 MONTANA AVE STE 106",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-451-2828",
            "fax_number": "310-451-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN WELLNESS RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "PARHAMI",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-488-0818"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY49210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0923139",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117394",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Wellness Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Wellness Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ross Terry Goldberg, MD
• Melissa Lynn Golde, D.P.T
• Amy Michelle Golden Malone, PPS
• Golden State Care Services Inc
• Golden Thread Therapy & Counseling, Licensed Clinical Social Worker, PC
• Addison Golden
• Matthew Goldenberg, D.O.
• Goldfarb RX Enterprises Inc
• Cathy Goldfarb, PSY.D., LCSW
• Melanie Goldfarb, MD

• Community/Retail Pharmacy in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.