FIVE STAR RX INC (NPI# 1194855908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194855908 |
| Entity Type | Organization |
| Organization Name | FIVE STAR RX INC |
| Other Organization Name | FIVE STAR PHARMACY |
| Practice Address |
16438 Vanowen St Unit 101 Van Nuys CA 91406-4733 |
| Practice Telephone | 8187860227 |
| Practice Fax Number | 8187860312 |
| Mailing Telephone | 8187860227 |
| Mailing Fax Number | 8187860312 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2013-04-24 |
| Authorized Official Name | MRS. IRINA V. SADOVSKY (PRESIDENT/PIC) |
| Authorized Official Telephone | 8187860227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PHY 49145 | CA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY 49145 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NABP | 0578887 | 01 |
| CA | PHARMACY PERMIT | PHY 49145 | 01 |
| CA | DEA | FF1134763 | 01 |
| CA | MEDI-CAL PROVIDER NUMBER | 1194855908 | 01 |
| Other Name | Type Code |
|---|---|
| FIVE STAR PHARMACY | Doing Business As Name - Organization |
| Street Address |
16438 VANOWEN ST UNIT 101 |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91406-4733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376978916 | Ultimate Pharmacy Inc | Pharmacy | 16438 Vanowen St, Unit 201, Van Nuys, CA 91406-4759 | 2013-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628953 | Elizabeth Leon Sanchez | Marriage & Family Therapist | 16360 Van Nuys Blvd, Van Nuys, CA 91406 | 2019-09-18 |
| 1720573926 | Kina Dennis | Specialist/Technologist | 17216 Saticoy Street, 609, Van Nuys, CA 91406 | 2018-06-29 |
| 1902398951 | Roland Hinds | Rehabilitation Practitioner | 16360 Roscoe Blvd # 2, Van Nuys, CA 91406 | 2018-06-05 |
| 1528576691 | Vyacheslav Alec Pekler | Naturopath | 7025 Adea Ave, Lake Balboa, CA 91406 | 2018-01-11 |
| 1366960999 | Gentle Ride LLC Dba Safeaid | Non-emergency Medical Transport (VAN) | 6747 Odessa Ave Ste 101, Van Nuys, CA 91406 | 2017-09-04 |
| 1396265252 | Developmental Pathways, Inc. | Physical Therapist | 7120 Hayvenhurst Ave Ste 308, Van Nuys, CA 91406 | 2017-06-22 |
| 1952850729 | Leisure Village, Inc | Assisted Living Facility | 6726 1/2 Gaviota Ave., Lake Balboa, CA 91406 | 2016-09-22 |
| 1689037426 | Mahnaz Rashidimoakhar | Physical Therapy Assistant | 6452 Woodley Ave, Unit 4, Van Nuys, CA 91406 | 2016-03-30 |
| 1306264205 | Angel Hospice Care, Inc. | Hospice Care, Community Based | 16114 Hart St, Van Nuys, CA 91406 | 2014-03-29 |
| 1871924589 | Well Care Transport, Inc. | Non-emergency Medical Transport (VAN) | 6525 Woodley Ave. Unit #205, Lake Balboa, CA 91406 | 2013-12-05 |
| Find all providers in zip 91406 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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 |
|---|---|---|---|---|
| 1538766266 | Nowrx Inc | Pharmacy | 16517 Arminta St, Van Nuys, CA 91406-1745 | 2020-10-06 |
| 1366099186 | Healthy Care Pharmacy Inc | Pharmacy | 6405 Van Nuys Blvd, Van Nuys, CA 91401-1437 | 2019-08-26 |
| 1982250916 | Windsor Pharmacy Inc | Pharmacy | 6411 Sepulveda Blvd Ste 2a, Van Nuys, CA 91411-1304 | 2019-08-15 |
| 1609435098 | Victory Care Rx Inc | Pharmacy | 13309 Victory Blvd Ste A, Van Nuys, CA 91401-1832 | 2019-06-10 |
| 1962067587 | Nova Luxe Pharmacy | Pharmacy | 13756 Victory Blvd, Van Nuys, CA 91401-2324 | 2019-05-08 |
| 1073025607 | St Mary Pharmaceutical Corp | Pharmacy | 15333 Sherman Way Ste C, Van Nuys, CA 91406-4204 | 2017-11-05 |
| 1104346592 | Caring Pharmacy Inc | Pharmacy | 6365 Van Nuys Blvd Ste A, Van Nuys, CA 91401-2639 | 2017-06-26 |
| 1942739388 | Liberty Pharmacy, Inc | Pharmacy | 7335 Van Nuys Blvd #107, Van Nuys, CA 91405-1951 | 2017-06-08 |
| 1356879787 | Cosmed Pharmacy, Inc. | Pharmacy | 6521 Van Nuys Blvd, Van Nuys, CA 91401-1425 | 2017-05-30 |
| 1073973715 | Veterans Pharmacy Inc | Pharmacy | 14105 Burbank Blvd, Van Nuys, CA 91401-4908 | 2016-02-23 |
| Find all providers in VAN NUYS | ||||
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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.