Active NPI
Specialty Care Pharmacy, Inc.
- Compounding Pharmacy
- Thousand Oaks, CA
National Provider Identifier
1134640790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- Legal business name
- SPECIALTY CARE PHARMACY, INC.
- Practice address
- 313 S Moorpark Rd
Thousand Oaks, CA 91361-1008 - Phone
- (805) 551-5095
- NPI assigned
- Jul 4, 2017
- 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
- Dr. Gregory Ayrassian, PHARMD
- Title
- Ceo/President
- Phone
- (805) 370-7110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounding Pharmacy | 3336C0004X | CA | Primary |
Addresses
Primary practice location
313 S Moorpark Rd
Thousand Oaks, CA 91361-1008
Mailing address
313 S Moorpark Rd
Thousand Oaks, CA 91361-1008
Phone (805) 551-5095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170818000087 | CA | Part B Supplier - Pharmacy | 1052683570 | Practice locations: Thousand Oaks, CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1134640790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 S MOORPARK RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611008",
"telephone_number": "805-551-5095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 S MOORPARK RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611008",
"telephone_number": "805-551-5095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALTY CARE PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-04",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "AYRASSIAN",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "805-370-7110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.