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VENICE FAMILY - STORE 3 NPI 1982154308


NPI Information

NPI: 1982154308
Provider Name: VENICE FAMILY - STORE 3
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 05D0549005

Address:
4700 INGLEWOOD BLVD STE 102
CULVER CITY, CA
ZIP 90230
Phone: (310) 664-7757
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VENICE FAMILY - STORE 3 is a community/retail pharmacy pharmacy in Culver City, 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. VENICE FAMILY - STORE 3 NPI is 1982154308. The provider is registered as an organization entity type.

The provider's business location address is:

4700 INGLEWOOD BLVD STE 102
CULVER CITY, CA
ZIP 90230-896
Phone: (310) 664-7757

The provider's authorized official is Sharon Ng .
The authorized official title is Pharmacy Director and has the following contact phone number (310) 664-7735.

The CLIA number assigned to this NPI record is 05D0549005 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/10/2016 and was last updated on 9/11/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12166978OTHERPK

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: 5/5/2024

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