PRIMECARE PHARMACY LLC (NPI# 1407301468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407301468 |
| Entity Type | Organization |
| Organization Name | PRIMECARE PHARMACY LLC |
| Other Organization Name | PRIMECARE PHARMACY |
| Practice Address |
32144 Agoura Rd Suite 101 Westlake Village CA 91361 |
| Practice Telephone | (818) 964-1000 |
| Practice Fax Number | 8189641200 |
| Mailing Telephone | 8189641000 |
| Mailing Fax Number | 8189641200 |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2020-05-01 |
| Authorized Official Name | MATT D SESTO (DIRECTOR OPERATIONS) |
| Authorized Official Telephone | 7144579647 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | SMC LYONS HOLDINGS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1407301468 | 05 |
| Other Name | Type Code |
|---|---|
| PrimeCare Pharmacy | Doing Business As Name - Organization |
| Your Pharmacy, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396976692 | Primecare Pharmacy LLC | Pharmacy | 3630 Gull Rd, Kalamazoo, MI 49048-1272 | 2009-08-04 |
| Street Address |
32144 AGOURA RD SUITE 101 |
| City | WESTLAKE VILLAGE |
| State | CA |
| Zip Code | 91361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174515662 | Hector Alberto Caballero | Internal Medicine | 32144 Agoura Rd, Suite 118, Westlake Village, CA 91361-4031 | 2005-08-19 |
| 1508363375 | University Foot & Ankle Institute Podiactric Surgical Center | Podiatrist | 32144 Agoura Rd, Westlake Village, CA 91361-4031 | 2018-04-09 |
| 1568819415 | Niti V. Peruvemba, D.o., Inc. | Non-Pharmacy Dispensing Site | 32144 Agoura Rd, Suite 118, Westlake Village, CA 91361-4031 | 2016-05-20 |
| 1699165977 | Imanoel Pharmacy, Inc. | Pharmacy | 32144 Agoura Rd, Suite 101, Westlake Village, CA 91361-4031 | 2015-01-26 |
| 1083051825 | Asher Kashanchi | Pharmacist | 32144 Agoura Rd, Westlake Village, CA 91361-4031 | 2013-06-03 |
| 1174899587 | Razmig Krumian D.o. A Medical Corporation | General Practice | 32144 Agoura Rd, Suite 218, Westlake Village, CA 91361-4031 | 2012-03-29 |
| 1992084776 | Trillium Med Spa, Cosmetic Surgery, & Laser Center | Obstetrics & Gynecology | 32144 Agoura Rd, Suite 207, Westlake Village, CA 91361-4031 | 2011-08-10 |
| 1568759421 | Healthy Lifestyle Management, Inc | Dietitian, Registered | 32144 Agoura Rd, Suite 220, Westlake Village, CA 91361-4031 | 2011-06-29 |
| 1346541828 | Daria M. Schneidman-fernandez | Nurse Practitioner | 32144 Agoura Rd, Suite 218, Westlake Village, CA 91361-4031 | 2010-11-15 |
| 1952546814 | Westlake Care Pharmacy Inc | Pharmacy | 32144 Agoura Rd, Ste 101, Westlake Village, CA 91361-4031 | 2008-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328379 | Lauren Kaprielian Davidson | Speech-Language Pathologist | Fox Therapy Services, 31822 Village Center Rd, Ste. 107, Westlake Village, CA 91361 | 2020-08-26 |
| 1679118749 | Min A Baek | Optometrist | 4353 Park Terrace Dr., #150, Westlake Village, CA 91361 | 2019-11-13 |
| 1417429952 | Kimberly Joanne Yudt | Behavioral Analyst | 660 Hampshire Road, Suite 100, Westlake Village, CA 91361 | 2018-12-21 |
| 1932671773 | Rachel Sonya Chistyakov | Marriage & Family Therapist | 32107 Undero Canyon Rd, Suite 203, Westlake Village, CA 91361 | 2018-12-18 |
| 1447778394 | Spirit Healthcare Hospice, Inc. | Hospice Care, Community Based | 30941 Agoura Rd., Suite 112, Westlake Village, CA 91361 | 2017-08-30 |
| 1023556313 | Lindsay Gooze | Marriage & Family Therapist | 38122 Village Center Rd., Ste.102, Westlake Village, CA 91361 | 2017-02-07 |
| 1851839419 | Casey J. Simon | Counselor | 1800 Bridgegate Street, Suite #108, Westlake Village, CA 91361 | 2017-02-03 |
| 1689124851 | David Schwartz | Marriage & Family Therapist | 30961 Agoura Rd Ste 215, Westlake Village, CA 91361 | 2016-10-11 |
| 1932655735 | Sherry Safavi | Counselor | 677 Colorado Blivd, Los Angeles, CA 91361 | 2016-08-31 |
| 1053795393 | Kashmir Trading Inc. | Durable Medical Equipment & Medical Supplies | 790 Hampshire Rd. Ste #b, Westlake Village, CA 91361 | 2015-07-16 |
| Find all providers in zip 91361 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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 |
|---|---|---|---|---|
| 1114435583 | Burt's Pharmacy, Inc | Pharmacy | 2900 Townsgate Rd Ste 105, Westlake Village, CA 91361-5818 | 2018-01-18 |
| 1790895399 | Costco Wholesale Corporation | Pharmacy | 5700 Lindero Canyon Rd, Westlake Village, CA 91362 | 2006-08-30 |
| 1376658740 | Park Compounding Pharmacy | Pharmacy | 280 N Westlake Blvd, Ste 100, Westlake Village, CA 91362-3759 | 2006-08-19 |
| 1699165977 | Imanoel Pharmacy, Inc. | Pharmacy | 32144 Agoura Rd, Suite 101, Westlake Village, CA 91361-4031 | 2015-01-26 |
| 1952546814 | Westlake Care Pharmacy Inc | Pharmacy | 32144 Agoura Rd, Ste 101, Westlake Village, CA 91361-4031 | 2008-12-08 |
| 1346406998 | Townsgate Enterprises LLC | Pharmacy | 2900 Townsgate Rd, Ste 117, Westlake Village, CA 91361-3001 | 2008-08-04 |
| 1164433744 | Townsgate Enterprises LLC | Pharmacy | 2900 Townsgate Rd, Ste 117, Westlake Village, CA 91361-3001 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | WESTLAKE VILLAGE |
| Zip Code | 91361 |
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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.