Organization Active NPI

Remedy Drugs Broadway Inc

  • Long Term Care Pharmacy
  • Glendale, CA
National Provider Identifier
1073376406
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
REMEDY DRUGS BROADWAY INC
Practice address
459 W Broadway Ste 4
Glendale, CA 91204-1228
Phone
(818) 548-6165
Fax
(818) 548-7095
NPI assigned
Jan 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Araz Derhartounian
Title
President
Phone
(818) 548-6165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

459 W Broadway Ste 4
Glendale, CA 91204-1228

Mailing address

459 W Broadway Ste 4
Glendale, CA 91204-1228
Phone (818) 548-6165

Other names 1

  • Broadway Remedy Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1073376406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 W BROADWAY STE 4",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041228",
            "telephone_number": "818-548-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 W BROADWAY STE 4",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041228",
            "telephone_number": "818-548-6165",
            "fax_number": "818-548-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDY DRUGS BROADWAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "DERHARTOUNIAN",
        "authorized_official_first_name": "ARAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-548-6165"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Remedy Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.