MEDICARE: PHARMACY4HUMANITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PHY48827	CA
2	333600000X	Pharmacy
3	3336S0011X	Specialty Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2113075	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972789642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACY4HUMANITY

Provider Business Mailing Address
First Line	:	18421 S MAIN ST
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90248-4609
Country	:	US
Telephone Number	:	310-999-6089
Fax Number	:	833-261-3712

Provider Business Practice Location Address
First Line	:	8212 SANTA MONICA BLVD
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-5913
Country	:	US
Telephone Number	:	323-654-0907
Fax Number	:	323-654-6264

Authorized Official
Title or Position	:	CHIEF OF PHARMACY
Name	:	KENNETH SCOTT CARRUTHERS
Credential	:
Telephone Number	:	323-860-5366

Provider Enumeration Date	:	01/12/2008
Last Update Date	:	12/03/2025

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1174663033 — DR. JIMMY ROBERT CHENG O.D.
Practice Location Address:

8210 SANTA MONICA BLVD
WEST HOLLYWOOD, CA
90046-5913

Practice Phone: 323-656-9550
Practice Fax:

1568613156 — DR. HELEN J. KANG PHARM.D.
Practice Location Address:

8212 SANTA MONICA BLVD
WEST HOLLYWOOD, CA
90046-5913

Practice Phone: 323-654-0907
Practice Fax: 323-654-6264

1609016559 — PROFESSIONAL VISIONCARE OF WEST HOLLYWOOD, INC A PROFESSIONAL OPTOM
Practice Location Address:

8210 SANTA MONICA BLVD
WEST HOLLYWOOD, CA
90046-5913

Practice Phone: 323-656-9550
Practice Fax: 323-650-2490

1801226642 — AIDS HEALTHCARE FOUNDATION
Practice Location Address:

8212 SANTA MONICA BLVD
WEST HOLLYWOOD, CA
90046-5913

Practice Phone: 323-654-0907
Practice Fax: 323-654-6264

1336692086 — JANET LEE
Practice Location Address:

8210 SANTA MONICA BLVD
WEST HOLLYWOOD, CA
90046-5913

Practice Phone: 714-325-7337
Practice Fax:

Directions to “PHARMACY4HUMANITY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.