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
Phone: (310) 838-7292
Fax: (310) 838-7293
Website:
Health care specialties
| Specialty | Code | License # | 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 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356456701 | NPPES |
| Other | 0589082 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | PHA341070 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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