Musumi Iwanaga, PHARM.D.,RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

BS5876252 Issued in CA

Practice address

12737 Glenoaks Blvd
#27
Sylmar, CA 91342-4704

Phone

(818) 362-6894

NPI assigned

Oct 5, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mask, Inc.

  dba Sylmar Professional Pharmacy

  • Community/Retail Pharmacy
  • Sylmar, CA
  • NPI 1609964949
  NPD (past) Authorized official

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053308957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22603 LILAC CT",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913904001",
            "telephone_number": "661-296-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12737 GLENOAKS BLVD",
            "address_2": "#27",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424704",
            "telephone_number": "818-362-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWANAGA",
        "first_name": "MUSUMI",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.,RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "BS5876252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0579764",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathy Hwang, M.D.
• Jose Ibarra
• Adam Ibaya
• Insight Health Corp (Olive View - UCLA Imaging Center)
• Tiffany E Isichei
• Izacare Behavior Solutions, Inc.
• J Nathan Rubin M.D.
• Brandon Jackson, OTR/L
• Cameda Trichele Jackson, LPCC
• Robert Romulus Jackson I

• Pharmacist in Sylmar, CA
• Providers in Sylmar, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.