PETICUB
NPI 1790049484
Pharmacy - Community/Retail Pharmacy in Los Angeles, CA

Q: What is Peticub's NPI number?

The NPI number for Peticub is 1790049484. It was assigned to this organization in the NPPES registry on June 27, 2012.

Q: What is Peticub's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Peticub was last updated on August 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 27, 2012

1804 S LA CIENEGA BLVD # 102, LOS ANGELES, CA 90035(310) 839-7387(310) 288-9141 Get Directions Write a Review

NPPES record last updated: August 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Peticub NPPES

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

PETICUB (NPI 1790049484) is a healthcare organization registered as a community/retail pharmacy in Los Angeles, California and active in the NPI registry since June 2012. The organization lists Rabin Shaoulian, Location Manager, as its authorized official.

NPPES Registry Identity

NPI1790049484

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePETICUB

Location Address1804 S LA CIENEGA BLVD # 102Los Angeles, CA 90035-4670

Mailing Address1804 S La Cienega Blvd # 102Los Angeles, CA 90035-4670 · (310) 839-7387 · Fax (310) 288-9141

Phone(310) 839-7387

Fax(310) 288-9141

Organization SubpartNo

Authorized OfficialRabin ShaoulianLocation Manager · (310) 839-7387

Enumeration DateJune 27, 2012

Last NPPES UpdateAugust 21, 2012

✔ NPI 1790049484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

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 ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X

Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X

1804 S LA CIENEGA BLVD # 102, Los Angeles, CA 90035

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Other Names 1

Doing Business AsPeticub

Other Identifiers 1

Other5644821Ncpdp Provider Identification Number

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 Peticub's NPI number?

The NPI number for Peticub is 1790049484. It was assigned to this organization in the NPPES registry on June 27, 2012.

Where is Peticub located?

Peticub is located at 1804 S La Cienega Blvd # 102, Los Angeles, CA 90035. The listed phone number is (310) 839-7387.

What is Peticub's specialty?

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

When was this NPI record last updated?

The NPPES record for Peticub was last updated on August 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.