Organization Active NPI

Easymed Pharmacy Inc

Doing business as Easymed Pharmacy

  • Community/Retail Pharmacy
  • La Canada, CA
National Provider Identifier
1063597326
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY38122 Issued in CA
Legal business name
EASYMED PHARMACY INC
Doing business as
Easymed Pharmacy
Riverside Discount Drugs
Practice address
1367 Foothill Blvd
La Canada, CA 91011-2183
Phone
(818) 766-5376
Fax
(818) 766-9736
NPI assigned
Oct 26, 2006
Last updated
Aug 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Mikia Aivaze
Title
President/Ceo
Phone
(818) 766-5376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY38122 CA Primary

Addresses

Primary practice location

1367 Foothill Blvd
La Canada, CA 91011-2183

Mailing address

1367 Foothill Blvd
La Canada, CA 91011-2183
Phone (818) 766-5376

Other identifiers 1

IdentifierTypeStateIssuer
0593360OtherNABP

Other names 2

  • EASYMED PHARMACY Doing business as
  • Riverside Discount Drugs Doing business as

National Provider Directory

National Provider Directory

Locations

1367 Foothill Blvd
La Canada, CA 91011

12508 Riverside Dr
North Hollywood, CA 91607
Phone (818) 766-5376

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1063597326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 FOOTHILL BLVD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112183",
            "telephone_number": "818-766-5376",
            "fax_number": "818-766-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 FOOTHILL BLVD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112183",
            "telephone_number": "818-766-5376",
            "fax_number": "818-766-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASYMED PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "AIVAZE",
        "authorized_official_first_name": "MIKIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-766-5376"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY38122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0593360",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASYMED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Discount Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Canada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.