Active NPI
Elitemed, Inc.
Doing business as Medbridge Pharmacy
- Long Term Care Pharmacy
- Granada Hills, CA
National Provider Identifier
1063283893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- ELITEMED, INC.
- Doing business as
- Medbridge Pharmacy
- Practice address
- 10515 Balboa Blvd Ste 125
Granada Hills, CA 91344-6354 - Phone
- (747) 600-9555
- Fax
- (747) 600-8866
- NPI assigned
- Jan 10, 2024
- Last updated
- Jan 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adrineh Keshish, PHARM D
- Title
- President/Ceo
- Phone
- (747) 600-9555
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
10515 Balboa Blvd Ste 125
Granada Hills, CA 91344-6354
Mailing address
10515 Balboa Blvd Ste 125
Granada Hills, CA 91344-6354
Phone (747) 600-9555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY59196 | Other | CA | BOARD OF PHARMACY |
Other names 1
- MEDBRIDGE PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Elitemed Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704844800000",
"number": "1063283893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10515 BALBOA BLVD STE 125",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446354",
"telephone_number": "747-600-9555",
"fax_number": "747-600-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10515 BALBOA BLVD STE 125",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446354",
"telephone_number": "747-600-9555",
"fax_number": "747-600-8866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITEMED, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-10",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A",
"authorized_official_last_name": "KESHISH",
"authorized_official_first_name": "ADRINEH",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "747-600-9555",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "PHY59196",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDBRIDGE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Granada Hills, CA
- Ekizian and Elie Dental Corporation (Balboa Dental Group and Orthodontics)
- Aline Ekizian, DDS
- Ani Ekizian, PHARMD
- Elaheh Farhadian MD Inc. (Dr. Elie Medical Center Internal Medicine & Cosmetics)
- Elitemed Inc (Medbridge Pharmacy)
- Elitemed, Inc. (MedBridge Pharmacy)
- Elocution Solution
- Emanuel Hospice Inc
- Emedassist
- Emerald Senior Care Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.