Organization Active NPI

Zelzah Pharmacy Inc

  • Community/Retail Pharmacy
  • Encino, CA
National Provider Identifier
1104025626
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ZELZAH PHARMACY INC
Practice address
17911 Ventura Blvd
Encino, CA 91316-3618
Phone
(818) 609-0692
Fax
(818) 609-0170
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Abe Javaheri, PHARM DNPI 1023329448
Title
President/Ceo
Phone
(818) 609-0692

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

17911 Ventura Blvd
Encino, CA 91316-3618

Mailing address

17911 Ventura Blvd
Encino, CA 91316-3618
Phone (818) 609-0692

Other identifiers 1

IdentifierTypeStateIssuer
PHY60484OtherCABOARD OF PHARMACY

Other names 1

  • ZELZAH PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091223000476 CA Part B Supplier - Mass Immunization (Roster Biller Only) 7214077221 Practice locations: Encino, CA
O20100930018081 CA DME Supplier - Pharmacy 7214077221 Practice locations: Encino, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Zelzah Pharmacy17911 Ventura Blvd, Encino, CA 91316-3618(818) 609-0692 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Diabetic Shoes and Inserts Accepts assignmentParticipating since Sep 18, 2009

National Provider Directory

National Provider Directory

Locations

17911 Ventura Blvd
Encino, CA 91316
Phone (818) 609-0170

Practitioners & affiliated clinicians

Practitioners 2

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": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1104025626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17911 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163618",
            "telephone_number": "818-609-0692",
            "fax_number": "818-609-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17911 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163618",
            "telephone_number": "818-609-0692",
            "fax_number": "818-609-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZELZAH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "JAVAHERI",
        "authorized_official_first_name": "ABE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-609-0692",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY60484",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZELZAH 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 Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.