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WILSHIRE GRAND PHARMACY
NPI 1124484209
Pharmacy - Community/Retail Pharmacy in Los Angeles, CA

Active since January 05, 2016
2974 WILSHIRE BLVD, LOS ANGELES, CA 90010(213) 480-1300(213) 480-1301 Get Directions Write a Review

NPPES record last updated: March 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wilshire Grand Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILSHIRE GRAND PHARMACY (NPI 1124484209) is a healthcare organization registered as a community/retail pharmacy in Los Angeles, California and active in the NPI registry since January 2016. The organization lists Katayoun K Barkhorbar, Member/rph, as its authorized official.

NPPES Registry Identity

NPI1124484209
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGRAND VENICE LLC
Location Address2974 WILSHIRE BLVDLos Angeles, CA 90010-1101
Mailing Address2974 Wilshire BlvdLos Angeles, CA 90010-1101 · (213) 480-1300 · Fax (213) 480-1301
Phone(213) 480-1300
Fax(213) 480-1301
Organization SubpartNo
Authorized OfficialKatayoun K BarkhorbarMember/rph · (213) 480-1300
Enumeration DateJanuary 5, 2016
Last NPPES UpdateMarch 21, 2016
✔ NPI 1124484209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY54082
Definition
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.
2974 WILSHIRE BLVD, Los Angeles, CA 90010
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Other Names 1

Doing Business AsWilshire Grand Pharmacy

Other Identifiers 2

Other56-58426CA · Ncpdp Provider
OtherPHY54082CA · Board Of Pharmacy Retail Permit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Venice LLC's NPI number?

The NPI number for Grand Venice LLC is 1124484209. It was assigned to this organization in the NPPES registry on January 5, 2016. The provider is doing business as Wilshire Grand Pharmacy.

Where is Grand Venice LLC located?

Grand Venice LLC is located at 2974 Wilshire Blvd, Los Angeles, CA 90010. The listed phone number is (213) 480-1300.

What is Grand Venice LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Grand Venice LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Grand Venice LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grand Venice LLC was last updated on March 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.