Sortpak RX, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SORTPAK RX, INC.

Practice address

655 N Central Ave FL 22
Glendale, CA 91203-1444

Phone

(877) 570-7787

Fax

(877) 475-2382

NPI assigned

Sep 14, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Shirvanyan

Title

President/Ceo

Phone

(877) 570-7787

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Sortpak Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Sortpak RX Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Sortpak RX Inc

  • Specialty Pharmacy
  • Glendale, CA
  • NPI 1205642246
  NPD tax ID
• Sortpak RX, Inc.

  • Mail Order Pharmacy
  • Glendale, CA
  • NPI 1477169910
  NPD tax ID

Locations

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1063407252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 N CENTRAL AVE FL 22",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031444",
            "telephone_number": "877-570-7787",
            "fax_number": "877-475-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 N CENTRAL AVE FL 22",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031444",
            "telephone_number": "877-570-7787",
            "fax_number": "877-475-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORTPAK RX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "SHIRVANYAN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "877-570-7787",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0524733",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY59170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sortpak Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sortpak RX Inc
• Sortpak RX, Inc.
• Alejandra Sotelo
• Cinthya Vasquez Sotelo, DNP, FNP-C
• Arianna Soto
• Genesis Alejandra Soto

• Community/Retail Pharmacy in Glendale, CA
• Providers in Glendale, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.