Organization Active NPI

Lara Pharmacy Corporation

  • Community/Retail Pharmacy
  • Sun Valley, CA
National Provider Identifier
1114085388
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHA354820 Issued in CA
Legal business name
LARA PHARMACY CORPORATION
Practice address
8031 Vineland Avenue
Sun Valley, CA 91352-3951
Phone
(818) 767-3737
Fax
(818) 767-4690
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Mrs. Elizabeth M Lara
Title
President Ceo
Phone
(818) 767-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHA354820 CA Primary

Addresses

Primary practice location

8031 Vineland Avenue
Sun Valley, CA 91352-3951

Mailing address

8031 Vineland Avenue
Sun Valley, CA 91352-3951
Phone (818) 767-3737

Other identifiers 1

IdentifierTypeStateIssuer
PHA354820MedicaidCA

Other names 1

  • Stanfred Drugs Doing business as

National Provider Directory

National Provider Directory

Locations

8031 Vineland Ave
Sun Valley, CA 91352
Phone (818) 767-3737

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1114085388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 VINELAND AVENUE",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913523951",
            "telephone_number": "818-767-3737",
            "fax_number": "818-767-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 VINELAND AVENUE",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913523951",
            "telephone_number": "818-767-3737",
            "fax_number": "818-767-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARA PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "818-767-3737",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHA354820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA354820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanfred Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.