IRA FREEMAN (NPI# 1558358465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558358465 |
| Entity Type | Organization |
| Organization Name | IRA FREEMAN |
| Other Organization Name | KEY PHARMACY |
| Practice Address |
12660 Riverside Dr Suite 100 Valley Village CA 91607-3429 |
| Practice Telephone | 8185093630 |
| Practice Fax Number | 8185093628 |
| Mailing Telephone | 8185093630 |
| Mailing Fax Number | 8185093628 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. IRA NORMAN FREEMAN (OWNER) |
| Authorized Official Telephone | 8185093630 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHY44154 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHARMACY LICENSE | PHY44154 | 01 |
| CA | PHA441540 | 05 |
| Other Name | Type Code |
|---|---|
| key pharmacy | Doing Business As Name - Organization |
| Street Address |
12660 RIVERSIDE DR SUITE 100 |
| City | VALLEY VILLAGE |
| State | CA |
| Zip Code | 91607-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417303264 | Conservative Anesthesia Group, P.C. | Anesthesiology | 12660 Riverside Dr, Ste 300, Valley Village, CA 91607-3429 | 2016-05-11 |
| 1609118777 | Ara Thomassian | Internal Medicine | 12660 Riverside Dr, Suite 215, Valley Village, CA 91607-3429 | 2013-03-26 |
| 1396024642 | Physical Therapy for Specialty Care | Physical Therapist | 12660 Riverside Dr, #215, Valley Village, CA 91607-3429 | 2011-08-04 |
| 1174767859 | Rachel Chen | Acupuncturist | 12660 Riverside Dr, Suite 325, Valley Village, CA 91607-3429 | 2009-04-27 |
| 1801049861 | Yolande Michelle Mavity | Physical Therapist | 12660 Riverside Dr, Ste. 215, Valley Village, CA 91607-3429 | 2008-11-03 |
| 1750549291 | Gina Deeb D.d.s., A Professional Dental Corporation | Dentist | 12660 Riverside Dr, Suite 240, Valley Village, CA 91607-3429 | 2008-05-31 |
| 1912103680 | Lauren Michelle Papa | Chiropractor | 12660 Riverside Dr, 201, Valley Village, CA 91607-3429 | 2007-06-21 |
| 1578607883 | Patricia A Wilkie | Chiropractor | 12660 Riverside Dr, Suite 210, Valley Village, CA 91607-3429 | 2007-02-19 |
| 1972695369 | Anna Rosemary Saunders | Physical Therapist | 12660 Riverside Dr, 215, Valley Village, CA 91607-3429 | 2006-09-29 |
| 1770693095 | Pazrica M. Cho I | Internal Medicine | 12660 Riverside Dr, Suite 110, Valley Village, CA 91607-3429 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891603 | Jenni Asher | Massage Therapist | 5425 1/2 Vantage Avenue, Valley Village, CA 91607 | 2020-11-06 |
| 1952926552 | Lisa Porter, Family Counselor, Inc | Marriage & Family Therapist | 4721 Laurel Canyon Blvd. Ste #200, Studio City, CA 91607 | 2020-06-10 |
| 1508488362 | Agm Rx Inc | Pharmacy | 12043 Riverdside Dr, Valley Village, CA 91607 | 2020-05-14 |
| 1275179327 | Go To Pharmacy Inc | Pharmacy | 5961 Laurel Canyon Ave #2, North Hollywood, CA 91607 | 2019-11-25 |
| 1689224545 | Canyon Rx Inc | Pharmacy | 12117 Magnolia Blvd, Valley Village, CA 91607 | 2019-09-12 |
| 1306311006 | Jeanine Ann Roose | Psychologist | 4941 Wilkinson Ave. Ste. A, Valley Village, CA 91607 | 2018-10-09 |
| 1790250942 | Janine Castagnetti | Speech-Language Pathologist | 5825 Radford Ave, Valley Village, CA 91607 | 2018-10-03 |
| 1871007724 | Valley Village Home Care Inc | Home Health | 5940 1/2 Laurel Canyon Blvd, Valley Village, CA 91607 | 2017-11-29 |
| 1740705185 | Archwood Care 2 | Intermediate Care Facility, Mentally Retarded | 12523 Califa St, Valley Village, CA 91607 | 2017-08-07 |
| 1932653664 | American Institute of Addiction Medicine | Substance Abuse Rehabilitation Facility | 12400 W Magnolia Blvd, Valley Village, CA 91607 | 2016-08-10 |
| Find all providers in zip 91607 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659812519 | Creative Cures Pharmacy | Pharmacy | 12137 Tiara St, Valley Village, CA 91607-1118 | 2017-03-13 |
| 1821459579 | Agm Rx Inc | Pharmacy | 12043 Riverside Dr, Valley Village, CA 91607-3744 | 2016-03-09 |
| 1699775205 | Agm Rx Inc | Pharmacy | 12043 Riverside Dr., Valley Village, CA 91607-3744 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1891394128 | Scriptdash Inc | Pharmacy | 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 | 2020-10-19 |
| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
| 1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
| 1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY VILLAGE |
| Zip Code | 91607 |
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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.