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GAVIN HERBERT COMPANY NPI 1437229515


NPI Information

NPI: 1437229515
Provider Name: GAVIN HERBERT COMPANY

Doing Business As: HORTON AND CONVERSE PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
201 S ALVARADO ST
STE 611
LOS ANGELES, CA
ZIP 90057
Phone: (213) 413-2424
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GAVIN HERBERT COMPANY is a pharmacy in Los Angeles, CA. The provider is 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. GAVIN HERBERT COMPANY NPI is 1437229515. The provider is registered as an organization entity type.
The provider Is Doing Business As Horton And Converse Pharmacy.

The provider's business location address is:

201 S ALVARADO ST
STE 611
LOS ANGELES, CA
ZIP 90057-320
Phone: (213) 413-2424
Fax: (213) 413-2427

The provider's authorized official is Dennis Medici .
The authorized official title is Controller and has the following contact phone number (949) 640-1231.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 1/12/2011.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336C0004XPharmacyCompounding PharmacyNo
4333600000XPharmacyPHY20283CALIFORNIAYes

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
1PHA202830MEDICAIDCALIFORNIA
20566971OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
30531060015MEDICARE NSCCALIFORNIA

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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