Victory Community Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VICTORY COMMUNITY PHARMACY INC

Doing business as

Victory Community Pharmacy

Practice address

101 N Victory Blvd Ste C
Burbank, CA 91502-1847

Phone

(818) 859-7040

Fax

(818) 859-7042

NPI assigned

Aug 25, 2022

Last updated

Sep 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristine Panosyan, PHARM DNPI 1053074518

Title

President/Ceo

Phone

(818) 859-7040

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• VICTORY COMMUNITY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Victory Community Pharmacy Inc2 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.

• Victory Community Pharmacy Inc

  dba Victory Community Pharmacy LTC

  • Long Term Care Pharmacy
  • Burbank, CA
  • NPI 1336018738
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Victory Community Pharmacy Inc

  dba Victory Community Pharmacy LTC

  • Long Term Care Pharmacy
  • Burbank, CA
  • NPI 1336018738
  NPPES parent name

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.

• Kristine Panosyan

  • Pharmacist
  • Burbank, CA
  • NPI 1053074518
  NPD Authorized official

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1073232609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N VICTORY BLVD STE C",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021847",
            "telephone_number": "818-859-7040",
            "fax_number": "818-859-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N VICTORY BLVD STE C",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021847",
            "telephone_number": "818-859-7040",
            "fax_number": "818-859-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY COMMUNITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "PANOSYAN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-859-7040",
        "authorized_official_credential": "PHARM D"
    },
    "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
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY58742",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICTORY COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ever Vergara
• Ves HHA Inc
• Cianna Vespo
• Avery Vice, OTR/L
• Victory Choice Home Health
• Victory Community Pharmacy Inc (Victory Community Pharmacy LTC)
• Victory Management Group, Inc
• Victory Olive Medical Group, Inc.
• Victory Place Care Inc.
• Victory Place Services Inc.

• Community/Retail Pharmacy in Burbank, CA
• Providers in Burbank, 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 Sep 6, 2022; 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.