Brentwood Plaza Pharmacy is an authorized DME supplier for medicare equipments and products.
Brentwood Plaza Pharmacy is a Community/Retail Pharmacy in Los Angeles, California. This pharmacy is owned and operated by Colfax Pharmaceutical Inc. It is located at 11980 San Vicente Blvd, Ste 104, Los Angeles and it's customer support contact number is 310-820-1496. The authorized person of Brentwood Plaza Pharmacy is Ben Tehrani, PHARM. D who is Ceo/pic of the pharmacy and his contact number is 310-820-1496. Active license number of Brentwood Plaza Pharmacy is 51494 for Community/Retail Pharmacy in California. Brentwood Plaza Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Brentwood Plaza Pharmacy is 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.
Pharmacy Details:
Brentwood Plaza Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Brentwood Plaza Pharmacy
Type:
Community/Retail Pharmacy
Location:
11980 San Vicente Blvd, Ste 104, Los Angeles, California, 90049-5012
Phone:
310-820-1496
Fax:
310-820-4186
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Ben Tehrani
Credentials:
PHARM. D
Position:
Ceo/pic
Contact Number:
310-820-1496
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1336247360
NPI Enumeration Date:
21 Sep, 2006
NPI Last Update On:
28 Apr, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brentwood Plaza Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
51494
California
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
Secondary
Specialty Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1336247360
Medicaid
California
2141894
Other
Pk
Medicare Enrollment:
Brentwood Plaza Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
4587956008
O20160701001092
Colfax Pharmaceutical Inc
DME SUPPLIER - PHARMACY
4587956008
O20161110002207
Colfax Pharmaceutical Inc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Products Available:
Brentwood Plaza Pharmacy has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Enteral Nutrients
Nebulizer Equipment & Supplies
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
11980 San Vicente Blvd, Ste 104 Los Angeles, California
Zip:
90049-5012
Phone Number:
310-820-1496
Fax Number:
310-820-4186
Patients can reach Brentwood Plaza Pharmacy at 11980 San Vicente Blvd, Ste 104, Los Angeles, California or can call on customer care at 310-820-1496.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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