Organization Active NPI

Encino Center Pharmacy Inc

  • Long Term Care Pharmacy
  • Encino, CA
National Provider Identifier
1083435358
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ENCINO CENTER PHARMACY INC
Practice address
16740 Ventura Blvd
Encino, CA 91436-1702
Phone
(818) 290-3834
Fax
(818) 290-3835
NPI assigned
Oct 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Irina Rezian
Title
Owner
Phone
(818) 290-3834

Specialties & licenses 1

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

Addresses

Primary practice location

16740 Ventura Blvd
Encino, CA 91436-1702

Mailing address

16740 Ventura Blvd
Encino, CA 91436-1702
Phone (818) 290-3834

Other names 1

  • ENCINO CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Encino Center Pharmacy2 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.

Locations

16740 Ventura Blvd
Encino, CA 91436
Phone (818) 290-3834

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1083435358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16740 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361702",
            "telephone_number": "818-290-3834",
            "fax_number": "818-290-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16740 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361702",
            "telephone_number": "818-290-3834",
            "fax_number": "818-290-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINO CENTER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-20",
        "status": "A",
        "authorized_official_last_name": "REZIAN",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-290-3834"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENCINO CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.