OrganizationActive
Grand Venice LLC
NPI 1124484209 · Community/Retail Pharmacy · Los Angeles, CA
Grand Venice LLC is a Community/Retail Pharmacy organization in Los Angeles, CA (NPI 1124484209).
Provider details
- NPI number
- 1124484209
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Katayoun Barkhorbar, Member/Rph(213) 480-1300
- License
- PHY54082 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2974 Wilshire Blvd
Los Angeles, CA 90010-1101
Phone: (213) 480-1300
Fax: (213) 480-1301
Street-level locationGet directions
Mailing address
2974 Wilshire Blvd
Los Angeles, CA 90010-1101
Other names (DBA / former)
- Doing business as
- Wilshire Grand Pharmacy
Registry dates
- Enumerated
- 2016-01-05
- Last updated
- 2016-03-21
Frequently asked questions
- What is Grand Venice LLC's NPI number?
- Grand Venice LLC's National Provider Identifier (NPI) is 1124484209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Venice LLC?
- Grand Venice LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Grand Venice LLC located?
- Grand Venice LLC's practice location on file with NPPES is 2974 Wilshire Blvd, Los Angeles, CA 90010-1101.
- What is Grand Venice LLC's phone number?
- The practice phone number listed in the NPPES registry for Grand Venice LLC is (213) 480-1300.
- Who is the authorized official for Grand Venice LLC?
- The authorized official listed on Grand Venice LLC's NPPES record is Katayoun Barkhorbar, Member/Rph. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Venice LLC's NPI active?
- Yes — Grand Venice LLC's NPI (1124484209) is active in the NPPES registry as of the last update on 2016-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.