1631 MONTANA AVE PHARMACY, LLC (NPI# 1881600476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881600476 |
| Entity Type | Organization |
| Organization Name | 1631 MONTANA AVE PHARMACY, LLC |
| Other Organization Name | REGENT SQUARE PHARMACY |
| Practice Address |
1631 Montana Ave Santa Monica CA 90403-1807 |
| Practice Telephone | 3103930761 |
| Practice Fax Number | 3103956654 |
| Mailing Telephone | 3103930761 |
| Mailing Fax Number | 3103956654 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-04-14 |
| Authorized Official Name | MS. ELEANOR KONG (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 3103930761 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY 49018 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA465390 | 05 | |
| CA | NCPDP | 05-73065 | 01 |
| Other Name | Type Code |
|---|---|
| REGENT SQUARE PHARMACY | Doing Business As Name - Organization |
| Street Address |
1631 MONTANA AVE |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396881298 | Shirin Ghafouri | Pharmacist | 1631 Montana Ave, Santa Monica, CA 90403 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| 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 |
|---|---|---|---|---|
| 1912542275 | Global Pharmacy Group Inc. Dba 986 Pharmacy #8008 | Pharmacy | 2001 Santa Monica Blvd Ste 100w, Santa Monica, CA 90404-2176 | 2019-11-11 |
| 1598272346 | Er Health Care Services Inc | Pharmacy | 1304 15th St Ste 103, Santa Monica, CA 90404-1810 | 2018-01-02 |
| 1972928786 | Venice Family Store 2 | Pharmacy | 2509 Pico Blvd Fl 2, Santa Monica, CA 90405-1828 | 2014-03-03 |
| 1992955793 | Golden Wellness Rx Inc | Pharmacy | 1230 Montana Ave Ste 106, Santa Monica, CA 90403 | 2008-09-29 |
| 1013188382 | Oceanview Pharmacy | Pharmacy | 1450 10th St Ste 100, Santa Monica, CA 90401-2831 | 2008-03-14 |
| 1861512378 | Ourx Pharmacy,inc. | Pharmacy | 2222 Santa Monica Blvd Ste 103, Santa Monica, CA 90404-2305 | 2007-03-29 |
| 1831254747 | Brentwood Pharmacy | Pharmacy | 214 26th Street, Santa Monica, CA 90402-2524 | 2006-12-22 |
| 1184707028 | Mccarthy Pharmacy Inc | Pharmacy | 2601 Lincoln Blvd, Santa Monica, CA 90405-4619 | 2006-10-23 |
| 1285649517 | Walgreen Co | Pharmacy | 1932 Wilshire Blvd, Santa Monica, CA 90403-5606 | 2006-07-29 |
| 1609897669 | Airport Pharmacy | Pharmacy | 3250 Pico Blvd, Santa Monica, CA 90405-2114 | 2006-07-22 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
Please comment or provide details below to improve the information on 1631 MONTANA AVE PHARMACY, LLC.
| 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.