Organization Active NPI

Foothill Medical Pharmacy Inc

  • Long Term Care Pharmacy
  • Tujunga, CA
National Provider Identifier
1124865738
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FOOTHILL MEDICAL PHARMACY INC
Practice address
7220 Foothill Blvd
Tujunga, CA 91042-2719
Phone
(818) 208-0764
NPI assigned
Jul 10, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Sevak AvanesiNPI 1033669577
Title
Owner
Phone
(818) 208-0764

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Foothill Medical Pharmacy Inc2 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

7220 Foothill Blvd
Tujunga, CA 91042
Phone (818) 208-0764

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

7220 Foothill Blvd
Tujunga, CA 91042-2719

Mailing address

7220 Foothill Blvd
Tujunga, CA 91042-2719

Other names 1

NPPES NPI Registry
  • FOOTHILL PHARMACY LTC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2024.

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1124865738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 FOOTHILL BLVD",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 FOOTHILL BLVD",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422719",
            "telephone_number": "818-208-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "AVANESI",
        "authorized_official_first_name": "SEVAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-208-0764",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOTHILL PHARMACY LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tujunga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.