PHARMACY 90210 INC (NPI# 1265788558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265788558 |
| Entity Type | Organization |
| Organization Name | PHARMACY 90210 INC |
| Other Organization Name | PHARMACY 90210 |
| Practice Address |
9735 Wilshire Blvd Suite 110 Beverly Hills CA 90212-2107 |
| Practice Telephone | 3107772000 |
| Practice Fax Number | 3107772001 |
| Mailing Telephone | 3107772000 |
| Mailing Fax Number | 3107772001 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2014-11-25 |
| Authorized Official Name | SHAHRAM SOROUDI (PRESIDENT, CEO, PIC) |
| Authorized Official Telephone | 3107772000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
51013 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2136188 | 01 |
| Other Name | Type Code |
|---|---|
| PHARMACY 90210 | Doing Business As Name - Organization |
| Street Address |
9735 WILSHIRE BLVD SUITE 110 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276700 | Leif L Rogers | Specialist | 9735 Wilshire Blvd, Ph, Beverly Hills, CA 90212-2104 | 2005-06-23 |
| 1093254146 | Beverly Hills Medical Center for Cosmetic Surgery Inc | Plastic Surgery | 9735 Wilshire Blvd, 220, Beverly Hills, CA 90212-2107 | 2017-02-21 |
| 1891247557 | Saghi Parham Dds Inc | Dentist | 9735 Wilshire Blvd, Ste 324, Beverly Hills, CA 90212-2107 | 2016-10-28 |
| 1962959361 | Beverly Hills Triangle Surgery Center Inc | Clinic/Center | 9735 Wilshire Blvd, Suite 321, Beverly Hills, CA 90212-2107 | 2016-09-02 |
| 1780045682 | Mark Jefferson Rivera | Family Medicine | 9735 Wilshire Blvd, Beverly Hills, CA 90212-2107 | 2016-03-19 |
| 1538565957 | Carrie Lynn Gessler | Nurse Practitioner | 9735 Wilshire Blvd, Penthouse Suite, Beverly Hills, CA 90212-2107 | 2014-11-12 |
| 1841694304 | Patrick G. Pieper, M.d., A Medical Corporation | Otolaryngology | 9735 Wilshire Blvd, Suite 300, Beverly Hills, CA 90212-2107 | 2014-10-13 |
| 1285051821 | Riman Dental Corporation | Dentist | 9735 Wilshire Blvd, Suite 325, Beverly Hills, CA 90212-2107 | 2014-03-20 |
| 1225467962 | Rashad Riman | Dentist | 9735 Wilshire Blvd, Suite 325, Beverly Hills, CA 90212-2107 | 2013-11-04 |
| 1578811683 | Rawad M Riman | Dentist | 9735 Wilshire Blvd, Suite 325, Beverly Hills, CA 90212-2107 | 2012-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972140499 | Village Pharmacy Compounding 3 Inc | Pharmacy | 31213 Southfield Rd, Beverly Hills, MI 48025-5455 | 2019-12-03 |
| 1457838831 | Roxbury Pharmacy, Inc. | Pharmacy | 465 N Roxbury Dr # 103, Beverly Hills, CA 90210-4206 | 2018-07-27 |
| 1275887697 | Planet Pharmacy Inc | Pharmacy | 121 N Robertson Blvd, Beverly Hills, CA 90211-2103 | 2012-11-07 |
| 1215164223 | Prx Pharmacorp | Pharmacy | 8536 Wilshire Blvd Ste 101, Beverly Hills, CA 90211-3103 | 2009-06-17 |
| 1174775365 | Maa Bhawani Inc | Pharmacy | 3791 N Lecanto Hwy, Beverly Hills, FL 34465-3559 | 2008-10-21 |
| 1871692822 | Boulevard Pharmacy Inc | Pharmacy | 8950 W Olympic Blvd, Beverly Hills, CA 90211-3561 | 2006-09-22 |
| 1366546285 | Holiday Cvs LLC | Pharmacy | 3506 N Lecanto Hwy, Beverly Hills, FL 34465-3512 | 2006-09-12 |
| 1285675108 | Garfield Beach Cvs LLC | Pharmacy | 9045 Wilshire Blvd, Beverly Hills, CA 90211-1829 | 2006-06-10 |
| 1700307055 | Pharmaca Integrative Pharmacy, Inc | Pharmacy | 9101 W Olympic Blvd Unit A&b, Beverly Hills, CA 90212-3507 | 2017-06-27 |
| 1114458346 | Magma Care | Pharmacy | 9400 Brighton Way, Beverly Hills, CA 90210-4714 | 2017-03-21 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.