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PGBB LLC NPI 1639358047


NPI Information

NPI: 1639358047
Provider Name: PGBB LLC

Doing Business As: SPECIALTY CARE RX

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
212 W MAGNOLIA BLVD
BURBANK, CA
ZIP 91502
Phone: (818) 848-8112
Get Directions

PGBB LLC is a specialty pharmacy pharmacy in Burbank, CA. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. PGBB LLC NPI is 1639358047. The provider is registered as an organization entity type.
The provider Is Doing Business As Specialty Care Rx.

The provider's business location address is:

212 W MAGNOLIA BLVD
BURBANK, CA
ZIP 91502-724
Phone: (818) 848-8112
Fax: (818) 848-8142

The provider's authorized official is Phillip Montano .
The authorized official title is Managing Member and has the following contact phone number (818) 848-8112.

The enumeration date for this NPI number is 11/1/2007 and was last updated on 12/1/2023.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336H0001XPharmacyHome Infusion Therapy PharmacyPH02822NEVADANo
43336S0011XPharmacySpecialty PharmacyYes

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
19000189056MEDICAIDCOLORADO
2PHY58715OTHERCALIFORNIACALIFORNIA BOARD OF PHARMACY
32116549OTHERPK
41639358047MEDICAIDCALIFORNIA

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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