Phantastic Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHANTASTIC PHARMACY INC

Doing business as

PHANTASTIC PHARMACY

Practice address

4347 Van Nuys Blvd
Sherman Oaks, CA 91403-3727

Phone

(818) 849-5992

Fax

(818) 849-5918

NPI assigned

Jan 25, 2017

Organization subpart

No

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

Authorized official

Name

Alek Torosyan

Title

President

Phone

(818) 849-5992

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PHANTASTIC PHARMACY Doing business as

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1093252363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 VAN NUYS BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033727",
            "telephone_number": "818-849-5992",
            "fax_number": "818-849-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 VAN NUYS BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033727",
            "telephone_number": "818-849-5992",
            "fax_number": "818-849-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHANTASTIC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "TOROSYAN",
        "authorized_official_first_name": "ALEK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-849-5992"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167337",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHANTASTIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHANTASTIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allan Burton Phillips, M.D.
• Phyllis K. Stewart, Licensed Clinical Social Worker

• Community/Retail Pharmacy in Sherman Oaks, CA
• Providers in Sherman Oaks, 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 Mar 27, 2023; 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.