Organization Active NPI

Veterans Pharmacy Inc

  • Community/Retail Pharmacy
  • Van Nuys, CA
National Provider Identifier
1073973715
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 54288 Issued in CA
Legal business name
VETERANS PHARMACY INC
Practice address
14105 Burbank Blvd
Van Nuys, CA 91401-4908
Phone
(818) 849-6460
Fax
(818) 849-5882
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Mr. Sarkis S. Chilegevorkyan
Title
President/Owner
Phone
(818) 849-6460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY 54288 CA Primary

Addresses

Primary practice location

14105 Burbank Blvd
Van Nuys, CA 91401-4908

Mailing address

14105 Burbank Blvd
Van Nuys, CA 91401-4908
Phone (818) 849-6460

Other identifiers 3

IdentifierTypeStateIssuer
PHY54288OtherCASTATE BOARD OF PHARMACY
FV5889920OtherCACONTROLLED SUBSTANCE REGISTRATION CERTIFICATE
56-59125OtherCANCPDP PROVIDER

Other names 1

  • VETERANS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

14105 Burbank Blvd
Van Nuys, CA 91401
Phone (818) 849-6460

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1073973715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14105 BURBANK BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914014908",
            "telephone_number": "818-849-6460",
            "fax_number": "818-849-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14105 BURBANK BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914014908",
            "telephone_number": "818-849-6460",
            "fax_number": "818-849-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "CHILEGEVORKYAN",
        "authorized_official_first_name": "SARKIS",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "818-849-6460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 54288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "PHY54288",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE",
            "identifier": "FV5889920",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER",
            "identifier": "56-59125",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VETERANS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.