SHORELINE PHARMACEUTICALS INC (NPI# 1124386123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124386123 |
| Entity Type | Organization |
| Organization Name | SHORELINE PHARMACEUTICALS INC |
| Other Organization Name | SHORELINE PHARMACEUTICALS, INC. |
| Practice Address |
16530 Ventura Blvd Ste 610 Encino CA 91436-5042 |
| Mailing Address |
18375 Ventura Blvd Ste 501 Tarzana CA 91356-4218 |
| Practice Telephone | 3104649170 |
| Practice Fax Number | 3104649171 |
| Mailing Telephone | 3104649170 |
| Mailing Fax Number | 3104649171 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2014-09-30 |
| Authorized Official Name | MATTHEW WALK (PRESIDENT) |
| Authorized Official Telephone | 3104649170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PHY51832 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2136134 | 01 |
| Other Name | Type Code |
|---|---|
| Shoreline Pharmaceuticals, Inc. | Doing Business As Name - Organization |
| Street Address |
16530 VENTURA BLVD STE 610 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-5042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497769343 | Biocare Rx Specialty Pharmacy LLC | Pharmacy | 5435 Balboa Blvd, Ste 210, Encino, CA 91316-1508 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611920 | Scripps Health | Pharmacy | 550 Washington St Ste 110, San Diego, CA 92103-2213 | 2020-08-28 |
| 1073149514 | Shri Hari Rx Inc | Pharmacy | 2079 Compton Ave Ste 105, Corona, CA 92881-3312 | 2020-03-17 |
| 1245873991 | Express Drugs | Pharmacy | 9902 Brimhall Rd # 100, Bakersfield, CA 93312-2801 | 2019-10-25 |
| 1366001653 | Precise Healthcare Inc | Pharmacy | 17500 Foothill Blvd Ste A-7a, Fontana, CA 92335-3736 | 2019-06-10 |
| 1013418862 | Pharmedquest Pharmacy Services | Pharmacy | 330 E Lambert Rd Ste 120, Brea, CA 92821-4100 | 2018-02-27 |
| 1295248524 | Nyrali LLC | Pharmacy | 5541 Van Buren Blvd, Riverside, CA 92503-2068 | 2017-11-08 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1699227983 | Landmark Pharma Inc | Pharmacy | 1113 Alta Ave Ste 100, Upland, CA 91786-2804 | 2016-11-02 |
| 1548713050 | Profusion LLC | Pharmacy | 7250 Engineer Rd Ste D, San Diego, CA 92111-1420 | 2016-08-02 |
| 1659824837 | Borrego Community Health Foundation | Pharmacy | 68555 Ramon Rd Bldg D, Cathedral City, CA 92234-3310 | 2016-07-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.