Active NPI
Lara Pharmacy Corporation
- Community/Retail Pharmacy
- Sun Valley, CA
National Provider Identifier
1114085388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHA354820
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA354820 | Medicaid | CA |
Other names 1
- Stanfred Drugs
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Sun Valley, CA
- NPI 1457908568
-
- Internal Medicine Physician
- Sun Valley, CA
- NPI 1194909481
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.