OLIVE TREE PHARMACY INC (NPI# 1447657358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447657358 |
| Entity Type | Organization |
| Organization Name | OLIVE TREE PHARMACY INC |
| Other Organization Name | OLIVE TREE PHARMACY |
| Practice Address |
14124 Foothill Blvd Ste 102 Sylmar CA 91342-8053 |
| Mailing Address |
14124 Foothill Blvd Ste 102 Sylmar CA 91342-8049 |
| Practice Telephone | 8183645100 |
| Practice Fax Number | 8183645102 |
| Mailing Telephone | 8183645100 |
| Mailing Fax Number | 8183645102 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2015-10-21 |
| Authorized Official Name | WILLIAM ZEN (OWNER / PIC) |
| Authorized Official Telephone | 8183645100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY52415 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2148979 | 01 |
| Other Name | Type Code |
|---|---|
| Olive Tree Pharmacy | Doing Business As Name - Organization |
| Street Address |
14124 FOOTHILL BLVD STE 102 |
| City | SYLMAR |
| State | CA |
| Zip Code | 91342-8053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| 1528520988 | Yeun Lim | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr., Cottage H1, Attn D. Ray, Sylmar, CA 91342 | 2019-04-04 |
| 1467914317 | Sevak Hovagimyan | Pharmacist | 13677 Foothill Blvd #b, Sylmar, CA 91342 | 2019-04-01 |
| 1619455086 | Cameda Trichele Dickerson | Counselor | Phoenix House 116600 Eldridge, Lake View Terrace, CA 91342 | 2018-07-30 |
| 1407349624 | Joseph Sungkon Choi | Acupuncturist | 10274 Foothill Blvd, Sylmar, CA 91342 | 2018-06-12 |
| 1780194522 | Joe Anthony Cardenas | Specialist/Technologist | 15450 Roxford Street, Sylmar, CA 91342 | 2017-10-06 |
| 1336668466 | Juan Hernandez | Chiropractor | 13950 Foothill Blvd Apt 108, Sylmar, CA 91342 | 2017-09-09 |
| 1891213492 | Richard Ignacio Martinez | Nurse Practitioner | 14987 Oro Grande St., Sylmar, CA 91342 | 2017-09-03 |
| 1104349497 | Vanessa Gamboa | Social Worker | 13145 Bromont Ave., 14, Sylmar, CA 91342 | 2017-07-19 |
| 1982138368 | Christina Guest | Psychiatry & Neurology | Olive View Medical Center, 14445 Olive View Drive, Sylmar, CA 91342 | 2017-04-12 |
| Find all providers in zip 91342 | ||||
| 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 |
|---|---|---|---|---|
| 1609964949 | Mask, Inc. | Pharmacy | 12737 Glenoaks Blvd Ste 27, Sylmar, CA 91342-4777 | 2006-10-11 |
| 1740221654 | Garfield Beach Cvs LLC | Pharmacy | 12717 Glenoaks Blvd, Sylmar, CA 91342-4749 | 2006-06-10 |
| 1720550858 | K & S Eaglestein Inc | Pharmacy | 13677 Foothill Blvd, Unit B, Sylmar, CA 91342 | 2018-12-31 |
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| 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.