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GRAND VENICE LLC NPI 1124484209


NPI Information

NPI: 1124484209
Provider Name: GRAND VENICE LLC

Doing Business As: WILSHIRE GRAND PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2974 WILSHIRE BLVD
LOS ANGELES, CA
ZIP 90010
Phone: (213) 480-1300
Get Directions

GRAND VENICE LLC is a community/retail pharmacy pharmacy in Los Angeles, CA. The provider is 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. GRAND VENICE LLC NPI is 1124484209. The provider is registered as an organization entity type.
The provider Is Doing Business As Wilshire Grand Pharmacy.

The provider's business location address is:

2974 WILSHIRE BLVD
LOS ANGELES, CA
ZIP 90010-101
Phone: (213) 480-1300
Fax: (213) 480-1301

The provider's authorized official is Katayoun K Barkhorbar .
The authorized official title is Member/rph and has the following contact phone number (213) 480-1300.

The enumeration date for this NPI number is 1/5/2016 and was last updated on 3/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyPHY54082CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
156-58426OTHERCALIFORNIANCPDP PROVIDER
2PHY54082OTHERCALIFORNIABOARD OF PHARMACY RETAIL PERMIT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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