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FAIRFAX PHARMACY
NPI 1144220492
Pharmacy - Community/Retail Pharmacy in West Hollywood, CA

Active since July 28, 2005
1111 N FAIRFAX AVE STE 110, WEST HOLLYWOOD, CA 90046(323) 656-9622(323) 656-9718 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fairfax Pharmacy NPPES

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

FAIRFAX PHARMACY (NPI 1144220492) is a healthcare organization registered as a community/retail pharmacy in West Hollywood, California and active in the NPI registry since July 2005. The organization lists Gregory Vayberman, President, as its authorized official.

NPPES Registry Identity

NPI1144220492
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBDO CORPORATION
Location Address1111 N FAIRFAX AVE STE 110West Hollywood, CA 90046-5363
Mailing Address1111 N Fairfax Ave Ste 110West Hollywood, CA 90046-5363 · (323) 656-9622 · Fax (323) 656-9718
Phone(323) 656-9622
Fax(323) 656-9718
Organization SubpartNo
Authorized OfficialGregory VaybermanPresident · (323) 565-8622
Enumeration DateJuly 28, 2005
Last NPPES UpdateFebruary 27, 2017
✔ NPI 1144220492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY41877
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
1111 N FAIRFAX AVE STE 110, West Hollywood, CA 90046
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Other Names 1

Doing Business AsFairfax Pharmacy

Other Identifiers 3

Medicare NSC0991270001
Other1994763Pk
MedicaidPHA418770CA

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairfax Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20100930078239DME · PharmacyDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 13

Medicare supplier enrollment and the product categories Fairfax Pharmacy carries, from the Medicare DMEPOS supplier directory.

Fairfax Pharmacy

DMEPOS supplier · West Hollywood, CAOperated by Bdo Corporation
✔

Accepts Medicare assignment

Fairfax Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20638865
Medicare Participant SinceJanuary 1, 1998
Supplier Location1111 N. Fairfax Ave Ste 110West Hollywood, CA 90046
Phone(323) 656-9622
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Bdo Corporation's NPI number?

The NPI number for Bdo Corporation is 1144220492. It was assigned to this organization in the NPPES registry on July 28, 2005. The provider is doing business as Fairfax Pharmacy.

Where is Bdo Corporation located?

Bdo Corporation is located at 1111 N Fairfax Ave Ste 110, West Hollywood, CA 90046. The listed phone number is (323) 656-9622.

What is Bdo Corporation's specialty?

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

Is Bdo Corporation enrolled in Medicare?

Yes. Bdo Corporation is registered in the Medicare PECOS enrollment system.

When is Bdo Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Pharmacy) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Bdo Corporation accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Fairfax Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Bdo Corporation accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 41 other insurers list Bdo Corporation 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 Bdo Corporation was last updated on February 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.