Organization Active NPI

Northridge Center Pharmacy

  • Pharmacy
  • Northridge, CA
National Provider Identifier
1053485573
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
NORTHRIDGE CENTER PHARMACY
Practice address
18250 Roscoe Blvd Ste 104
Northridge, CA 91325-4257
Phone
(818) 885-8191
Fax
(818) 717-8745
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Hayk HarutyunyanNPI 1841547668
Title
Secretary
Phone
(818) 885-8191

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

18250 Roscoe Blvd Ste 104
Northridge, CA 91325-4257

Mailing address

18250 Roscoe Blvd Ste 104
Northridge, CA 91325-4257
Phone (818) 885-8191

Other names 1

  • NORTHRIDGE CENTER PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180524001634 CA Part B Supplier - Pharmacy 4183989007 Practice locations: Northridge, CA

National Provider Directory

National Provider Directory

Locations

18250 Roscoe Blvd
Ste 104
Northridge, CA 91325
Phone (818) 885-8191

Practitioners & affiliated clinicians

Practitioners 2

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1053485573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD STE 104",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254257",
            "telephone_number": "818-885-8191",
            "fax_number": "818-717-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD STE 104",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254257",
            "telephone_number": "818-885-8191",
            "fax_number": "818-717-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHRIDGE CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "HARUTYUNYAN",
        "authorized_official_first_name": "HAYK",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "818-885-8191"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHRIDGE CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTHRIDGE CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.