NPIMap

Organization Active NPI

Mishnik Pharmacy Services, Inc.

  • Community/Retail Pharmacy
  • Simi Valley, CA
National Provider Identifier
1053671800
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50179 Issued in CA
Legal business name
MISHNIK PHARMACY SERVICES, INC.
Practice address
1960 Sequoia Ave
Suite 3
Simi Valley, CA 93063-3176
Phone
(805) 416-8900
Fax
(805) 823-7767
NPI assigned
May 25, 2012
Last updated
May 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Mr. Amgad Mohsen Masih, RPHNPI 1043554587
Title
Chief Pharmacist
Phone
(805) 258-6569

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
Community/Retail Pharmacy 3336C0003X 50179 CA Primary

Addresses

Primary practice location

1960 Sequoia Ave
Suite 3
Simi Valley, CA 93063-3176

Mailing address

PO Box 940816
Simi Valley, CA 93094-0816
Phone (805) 258-6569

National Provider Directory

National Provider Directory
Tax ID family
Golden Life 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

1960 Sequoia Ave
Ste 3
Simi Valley, CA 93063
Phone (805) 416-8900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1053671800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940816",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930940816",
            "telephone_number": "805-258-6569",
            "fax_number": "805-823-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 SEQUOIA AVE",
            "address_2": "SUITE 3",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633176",
            "telephone_number": "805-416-8900",
            "fax_number": "805-823-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHNIK PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "MASIH",
        "authorized_official_first_name": "AMGAD",
        "authorized_official_middle_name": "MOHSEN",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "805-258-6569",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.