County of Los Angeles
NPI 1114967965ActiveOrganization· Pharmacy· San Fernando, CA
Pharmacy in San Fernando, California, registered in NPPES in June 2006. The authorized official on file is Amy Gutierrez, Chief Pharmacy Officer.
Overview
| NPI | 1114967965 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 8, 2006 |
| Last updated in NPPES | Jan 5, 2024 |
| Certified by provider | Jan 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PHE44724 | CA |
| Pharmacy, Clinic Pharmacy | 3336C0002X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacy providers in San Fernando
- 1740323328
- 1750889531
- 1447667118