NPI Code Detail JSON Logo

1831110881 NPI number — FSQ PHARMACY HOLDINGS LLC

NPI Number: 1831110881
Health Care Provider/Practitioner: FSQ PHARMACY HOLDINGS LLC

Information about “1831110881” NPI (FSQ PHARMACY HOLDINGS LLC) exists in 1831110881 in HTML format HTML  |  1831110881 in plain Text format TXT  |  1831110881 in PDF (Portable Document Format) PDF  |  1831110881 in an XML format XML  formats.

NPI Number : 1831110881 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831110881",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "FSQ PHARMACY HOLDINGS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7301 MEDICAL CENTER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST HILLS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91307-1904",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-887-4670",
    "MailingAddressFaxNumber": "818-887-0473",
    "FirstLinePracticeLocationAddress": "7301 MEDICAL CENTER DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEST HILLS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91307-1904",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-887-4670",
    "PracticeLocationAddressFaxNumber": "818-887-0473",
    "EnumerationDate": "07/22/2006",
    "LastUpdateDate": "01/16/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BERRY",
    "AuthorizedOfficialFirstName": "STEVEN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VP PHCY OPS",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "617-796-8288",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "3336I0012X",
          "TaxonomyName": "Institutional Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336L0003X",
          "TaxonomyName": "Long Term Care Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": "PHY47416",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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