WILSHIRE LA JOLLA PHARMACY INC (NPI# 1306820410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306820410 |
| Entity Type | Organization |
| Organization Name | WILSHIRE LA JOLLA PHARMACY INC |
| Other Organization Name | WILSHIRE LA JOLLA PHARMACY INC |
| Practice Address |
6360 Wilshire Blvd Los Angeles CA 90048-5603 |
| Mailing Address |
6360 Wilshire Blvd Lobby Los Angeles CA 90048-5603 |
| Practice Telephone | 3236586611 |
| Practice Fax Number | 3236587021 |
| Mailing Telephone | 3236586611 |
| Mailing Fax Number | 3236587021 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2012-06-07 |
| Authorized Official Name | CHERYL CHE (PRESIDENT, OWNER) |
| Authorized Official Telephone | 3236586611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY44186 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA441860 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0529377 | 01 |
| Other Name | Type Code |
|---|---|
| WILSHIRE LA JOLLA PHARMACY INC | Doing Business As Name - Organization |
| Street Address |
6360 WILSHIRE BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335277 | Homayoon Khanlou | Internal Medicine | 6360 Wilshire Blvd, 414, Los Angeles, CA 90048 | 2005-09-07 |
| 1497202139 | Cheryl Che | Pharmacist | 6360 Wilshire Blvd, Los Angeles, CA 90048-5603 | 2016-09-09 |
| 1366804825 | Samuel Ross Md Inc | Internal Medicine | 6360 Wilshire Blvd, #102, Los Angeles, CA 90048-5603 | 2016-03-24 |
| 1831578780 | Henry Lo Dds Inc | Dentist | 6360 Wilshire Blvd, Suite Number 403, Los Angeles, CA 90048-5603 | 2015-05-26 |
| 1063803120 | Wesley Mcgeachy | Physical Therapist | 6360 Wilshire Blvd, 302, Los Angeles, CA 90048-5603 | 2015-02-11 |
| 1366857690 | Justin Ghiam | Dentist | 6360 Wilshire Blvd, Suite 512, Los Angeles, CA 90048-5603 | 2014-06-25 |
| 1821438987 | Miiid Incorporated | Internal Medicine | 6360 Wilshire Blvd, Ste 414, Los Angeles, CA 90048-5603 | 2013-07-03 |
| 1467707620 | Daniel Paul Rodriguez | Occupational Therapist | 6360 Wilshire Blvd, Ste.300, Los Angeles, CA 90048-5603 | 2012-07-13 |
| 1982979787 | Senny Schnell | Behavioral Analyst | 6360 Wilshire Blvd, Ste 300, Los Angeles, CA 90048-5603 | 2012-03-13 |
| 1821371501 | Margaret Laemmle Reisbaum | Speech-Language Pathologist | 6360 Wilshire Blvd, Suite 300, Los Angeles, CA 90048-5603 | 2011-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| 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 |
|---|---|---|---|---|
| 1265040836 | Cmc Enterprise, Inc. | Pharmacy | 2426 W 8th St Ste 112, Los Angeles, CA 90057-3840 | 2020-07-20 |
| 1538782230 | Altamed Health Services Corp | Pharmacy | 3945 Whittier Blvd Rm 100, Los Angeles, CA 90023-2440 | 2020-05-28 |
| 1184243602 | Dtla Rx Pharmacy Apc | Pharmacy | 1120 S Grand Ave Ste 103, Los Angeles, CA 90015-4677 | 2020-04-14 |
| 1700405701 | Altamed Health Services Corp | Pharmacy | 972 Goodrich Blvd Rm 100, Los Angeles, CA 90022 | 2020-04-10 |
| 1649807140 | Mixlab, Inc. | Pharmacy | 2223 Federal Ave, Los Angeles, CA 90064-1403 | 2020-03-25 |
| 1457985426 | Care Prescription Management | Pharmacy | 5757 Wilshire Blvd Ste 320, Los Angeles, CA 90036-3686 | 2020-02-27 |
| 1609409077 | Altamed Health Services Corp | Pharmacy | 2100 W 3rd St Ste 190, Los Angeles, CA 90057-1999 | 2020-02-13 |
| 1003448184 | Linco Pharmacy, Inc. | Pharmacy | 5755 W Adams Blvd, Los Angeles, CA 90016-2440 | 2020-02-06 |
| 1972149292 | Cedars-sinai Medical Care Foundation | Pharmacy | 11800 Wilshire Blvd Ste 202, Los Angeles, CA 90025-6602 | 2019-11-21 |
| 1659930089 | Jade Kalelei Wilia | Pharmacy | 1411 N Mansfield Ave Apt 9, Los Angeles, CA 90028-7676 | 2019-06-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
Please comment or provide details below to improve the information on WILSHIRE LA JOLLA PHARMACY INC.
| 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.