St Mary Pharmaceutical Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ST MARY PHARMACEUTICAL CORP

Doing business as

Sherman Way Pharmacy

Practice address

15333 Sherman Way Ste C
Van Nuys, CA 91406-4204

Phone

(818) 453-8380

Fax

(818) 453-8362

NPI assigned

Nov 5, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Arnold Nikogosyan, RPH

Title

President/Ceo/Owner

Phone

(818) 453-8380

Specialties & licenses 1

Addresses

Other names 1

• Sherman Way Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1509840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1073025607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15333 SHERMAN WAY STE C",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064204",
            "telephone_number": "818-453-8380",
            "fax_number": "818-453-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15333 SHERMAN WAY STE C",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064204",
            "telephone_number": "818-453-8380",
            "fax_number": "818-453-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY PHARMACEUTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-05",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "NIKOGOSYAN",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_title_or_position": "PRESIDENT/CEO/OWNER",
        "authorized_official_telephone_number": "818-453-8380",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherman Way Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Van Nuys, CA
• Providers in Van Nuys, 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 May 21, 2019; 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.