Organization Active NPI

Sirmid, Inc

  • Long Term Care Pharmacy
  • Valley Village, CA
National Provider Identifier
1043041676
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SIRMID, INC
Practice address
12660 Riverside Dr Ste 100
Valley Village, CA 91607-3430
Phone
(818) 509-3630
Fax
(818) 395-3626
NPI assigned
Aug 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Siranush MiduryanNPI 1184357717
Title
President
Phone
(818) 509-3630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

12660 Riverside Dr Ste 100
Valley Village, CA 91607-3430

Mailing address

12660 Riverside Dr Ste 100
Valley Village, CA 91607-3430
Phone (818) 509-3630

National Provider Directory

National Provider Directory
Tax ID family
Key Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12660 Riverside Dr
Ste 100
Valley Village, CA 91607
Phone (818) 509-3630

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1043041676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12660 RIVERSIDE DR STE 100",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073430",
            "telephone_number": "818-509-3630",
            "fax_number": "818-395-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12660 RIVERSIDE DR STE 100",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073430",
            "telephone_number": "818-509-3630",
            "fax_number": "818-395-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRMID, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "MIDURYAN",
        "authorized_official_first_name": "SIRANUSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-509-3630"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.