SG PHARMACY INC (NPI# 1548275167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548275167 |
| Entity Type | Organization |
| Organization Name | SG PHARMACY INC |
| Other Organization Name | BROTMAN MEDICAL PHARMACY |
| Practice Address |
3831 Hughes Ave Culver City CA 90232-2751 |
| Practice Telephone | 3102041111 |
| Practice Fax Number | 3102040295 |
| Mailing Telephone | 3102041111 |
| Mailing Fax Number | 3102040295 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2016-07-07 |
| Authorized Official Name | SAPAN BHAKTA (PHCY MANG) |
| Authorized Official Telephone | 9092250283 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
48890 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1999031 | 01 |
| Other Name | Type Code |
|---|---|
| BROTMAN MEDICAL PHARMACY | Doing Business As Name - Organization |
| Street Address |
3831 HUGHES AVE |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90232-2751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942209242 | Optc Westside Inc | Physical Therapist | 3831 Hughes Ave, Ste 104, Culver City, CA 90232-2751 | 2005-07-19 |
| 1316501273 | Clear Allergy Inc | Allergy & Immunology | 3831 Hughes Ave, Culver City, CA 90232-2751 | 2019-04-26 |
| 1306235171 | Lauren H. Felipe | Optometrist | 3831 Hughes Ave, Suite 500, Culver City, CA 90232-2751 | 2015-01-16 |
| 1275938300 | Elise Leizerovich | Occupational Therapist | 3831 Hughes Ave, Suite 506, Culver City, CA 90232-2751 | 2014-10-31 |
| 1023413457 | Kenton S. Wan | Physical Therapist | 3831 Hughes Ave, Suite # 104, Culver City, CA 90232-2751 | 2014-10-28 |
| 1124447974 | Sunday Okundolor | Registered Nurse | 3831 Hughes Ave, Ste 506, Culver City, CA 90232-6860 | 2014-04-09 |
| 1922432715 | Amanda Knight Jamieson | Physical Therapist | 3831 Hughes Ave, Suite #104, Culver City, CA 90232-2751 | 2013-08-28 |
| 1275967341 | Imelda Okoli | Nurse Practitioner | 3831 Hughes Ave, Ste 506, Culver City, CA 90232-6860 | 2013-08-26 |
| 1841635224 | Zachary Scott Tobiasz | Physical Therapy Assistant | 3831 Hughes Ave, Ste 104, Culver City, CA 90232 | 2013-04-30 |
| 1366780306 | Culver City Specialty and Podiatry Group | Podiatrist | 3831 Hughes Ave, Suite 700, Culver City, CA 90232-2751 | 2013-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306328430 | Kayla Brass | Physical Therapist | 11056 Washington Blvd Suite C, Culver City, CA 90232 | 2018-09-05 |
| 1861911265 | Caitlyn Handy | Social Worker | 4194 Duquesne Ave, Apt 2, Culver City, CA 90232 | 2017-09-17 |
| 1639695109 | Ashlyn Herrian | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd., Ste. 505, Culver City, CA 90232 | 2017-08-16 |
| 1922522911 | Kendra Lopez | Rehabilitation Practitioner | 9808 Venice Blvd Suite 700, Culver City, CA 90232 | 2017-08-01 |
| 1740677335 | Michelle Adams | Psychologist | 10866 Washington Blvd #718, Culver City, CA 90232 | 2015-04-21 |
| 1164814976 | Alexander Gersh | Speech-Language Pathologist | 3844 Culver Ctr Ste B, Culver City, CA 90232 | 2015-03-03 |
| 1497161145 | Anila Ladak | Nurse Practitioner | 3828 Delmos Ter, Southern California Hospital At Culver City, Culver City, CA 90232 | 2014-07-02 |
| 1235554908 | Rochelle Skinner Dds Dental Corporation | Dentist | 9702 Venice Blvd, Suite B, Culver City, CA 90232 | 2014-03-04 |
| 1316361173 | Krisena Borenstein | Dentist | 10811 Washington Blvd. Suite #200, Culver City, CA 90232 | 2014-02-13 |
| 1154689925 | Lawrence S Levy | Physical Therapist | 11479 Jefferson Blvd, Culver City, CA 90232 | 2012-04-30 |
| Find all providers in zip 90232 | ||||
| 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 |
|---|---|---|---|---|
| 1124538806 | Honeybee Health, Inc. | Pharmacy | 3515 Helms Ave, Culver City, CA 90232-2414 | 2017-10-06 |
| 1447349097 | Memorial Medical Center Pharmacy | Pharmacy | 9806 Venice Bl., Culver City, CA 90232-2728 | 2006-10-12 |
| 1982154308 | Venice Family Clinic | Pharmacy | 4700 Inglewood Blvd Ste 102, Culver City, CA 90230-5896 | 2016-10-10 |
| 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 | CULVER CITY |
| Zip Code | 90232 |
Please comment or provide details below to improve the information on SG PHARMACY INC.
| 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.