Bobs Pharmacy

LBN: Robert Shiepe
Bobs Pharmacy is an health care organization with primary practice located at 6136 Venice Blvd Ste 100, Los Angeles CA 90034-2221. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Robert Shiepe can be contacted via phone (310) 838-7292, or through Shiepe, Bob via phone (310) 838-7292.

Contact Information

Primary practice address
6136 Venice Blvd Ste 100 Los Angeles CA 90034-2221
Fax: (310) 838-7293
Website:
Authorized official contact:
Name: Shiepe, Bob RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X PHY34107 California
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1356456701
LBN Legal business name Robert Shiepe
DBA Doing business as Bobs Pharmacy
Authorized official Shiepe, Bob RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Jun 22nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356456701 NPPES
Other 0589082 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA341070 NCPDP PROVIDER IDENTIFICATION NUMBER

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