GLENDALE PHARMACY INC (NPI# 1184284457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184284457 |
| Entity Type | Organization |
| Organization Name | GLENDALE PHARMACY INC |
| Practice Address |
1122 N Brand Blvd Glendale CA 91202-2547 |
| Practice Telephone | 8183092653 |
| Practice Fax Number | 8183092651 |
| Mailing Telephone | 8183092653 |
| Mailing Fax Number | 8183092651 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | MR. RAZMIK HOVSEPIAN (OPERATION MANAGER) |
| Authorized Official Telephone | 8183092653 |
| Is Organization Subpart | Y |
| Parent Organization Name | GLENDALE PHARMACY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Glendale Pharmacy Specialty | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427204858 | Glendale Pharmacy Inc | Pharmacy | 6116 Cooper Ave, Glendale, NY 11385-6115 | 2008-08-18 |
| 1801807482 | Glendale Pharmacy Inc | Pharmacy | 1122 N Brand Blvd, Glendale, CA 91202-2547 | 2006-08-10 |
| Street Address |
1122 N BRAND BLVD |
| City | GLENDALE |
| State | CA |
| Zip Code | 91202-2547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801807482 | Glendale Pharmacy Inc | Pharmacy | 1122 N Brand Blvd, Glendale, CA 91202-2547 | 2006-08-10 |
| 1447881602 | Carmelie Neil De La Cruz | Pharmacist | 1122 N Brand Blvd, Glendale, CA 91202-2547 | 2020-01-27 |
| 1629425764 | Abayomi Obadeyi | Pharmacist | 1122 N Brand Blvd, Glendale, CA 91202-2547 | 2016-05-18 |
| 1114130267 | Christopher James Kurimoto | Dentist | 1122 N Brand Blvd, Suite 203, Glendale, CA 91202-2547 | 2007-05-07 |
| 1982820064 | Geoffrey Noel Shanklin | Dentist | 1122 N Brand Blvd, #202, Glendale, CA 91202-2547 | 2007-04-18 |
| 1366532020 | Charles Thomas Wells | Dentist | 1122 N Brand Blvd, #203, Glendale, CA 91202-2572 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538857 | Forever Active Cbas | Clinic/Center | 1111 W Glenoaks Blvd, Glendale, CA 91202 | 2018-11-29 |
| 1144724436 | Kristine Bustos | Nurse Practitioner | 1200 N Pacific Ave Ste 104, Glendale, CA 91202 | 2018-03-21 |
| 1295159614 | Kevin Lew | Dentist | 1122 N. Brand Blvd. Suite 102, Glendale, CA 91202 | 2014-02-05 |
| 1568709350 | Helen Chalakians | Counselor | 525 Glenwood Rd, Glendale, CA 91202 | 2013-01-14 |
| 1316216161 | Teresa Eligio | Nurse Practitioner | 857 Grant Ave, Glendale, CA 91202 | 2011-12-23 |
| 1033486139 | Advance Hospice Care, Inc. | Home Health | 1209 N. Central Ave Suite 204, Glendale, CA 91202 | 2011-11-18 |
| 1659518785 | Sarine Davityan | Marriage & Family Therapist | 1010 N Central Ave # 310, Glendale, CA 91202 | 2009-01-12 |
| 1760635619 | Tatiana Mikaelian Dds Inc | Dentist | 1209 N. Central Ave, #203, Glendale, CA 91202 | 2008-10-23 |
| 1669624219 | Marine Demirjian | Allergy & Immunology | 1131 N Pacific Ave, Glendale, CA 91202 | 2008-10-15 |
| 1902055783 | Lousine Vahagn Kirakosian | Dentist | 125 E. Glenoaks Blvd., Suite 103, Glendale, CA 91202 | 2008-09-16 |
| Find all providers in zip 91202 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386865269 | Ritt Medical, Inc. | Pharmacy | 6283 W Lone Cactus Dr, Glendale, AZ 85308-6304 | 2007-05-01 |
| 1114960994 | Glendale Prescription Center Inc | Pharmacy | 5322 N Port Washington Rd, Glendale, WI 53217-4913 | 2006-06-13 |
| 1154812527 | Triple S R Pharmacy Inc | Pharmacy | 330 N Brand Blvd Ste 155, Glendale, CA 91203-2324 | 2018-05-22 |
| 1275930638 | Triple S R Pharmacy Inc | Pharmacy | 330 N Brand Blvd, Suite 155, Glendale, CA 91203-2308 | 2014-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611920 | Scripps Health | Pharmacy | 550 Washington St Ste 110, San Diego, CA 92103-2213 | 2020-08-28 |
| 1073149514 | Shri Hari Rx Inc | Pharmacy | 2079 Compton Ave Ste 105, Corona, CA 92881-3312 | 2020-03-17 |
| 1245873991 | Express Drugs | Pharmacy | 9902 Brimhall Rd # 100, Bakersfield, CA 93312-2801 | 2019-10-25 |
| 1366001653 | Precise Healthcare Inc | Pharmacy | 17500 Foothill Blvd Ste A-7a, Fontana, CA 92335-3736 | 2019-06-10 |
| 1013418862 | Pharmedquest Pharmacy Services | Pharmacy | 330 E Lambert Rd Ste 120, Brea, CA 92821-4100 | 2018-02-27 |
| 1295248524 | Nyrali LLC | Pharmacy | 5541 Van Buren Blvd, Riverside, CA 92503-2068 | 2017-11-08 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1699227983 | Landmark Pharma Inc | Pharmacy | 1113 Alta Ave Ste 100, Upland, CA 91786-2804 | 2016-11-02 |
| 1548713050 | Profusion LLC | Pharmacy | 7250 Engineer Rd Ste D, San Diego, CA 92111-1420 | 2016-08-02 |
| 1659824837 | Borrego Community Health Foundation | Pharmacy | 68555 Ramon Rd Bldg D, Cathedral City, CA 92234-3310 | 2016-07-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.