Organization Active NPI

Verdugo Hills Pharmacy Inc

Doing business as USC Verdugo Hills Professional Pharmacy

  • Community/Retail Pharmacy
  • Glendale, CA
National Provider Identifier
1144615550
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 53639 Issued in CA
Legal business name
VERDUGO HILLS PHARMACY INC
Doing business as
USC Verdugo Hills Professional Pharmacy
Verdugo Hills Pharmacy
Practice address
1808 Verdugo Blvd
Suite 111
Glendale, CA 91208-1477
Phone
(818) 952-2223
Fax
(818) 952-4760
NPI assigned
Apr 2, 2015
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Mr. Armen Der-Hartunian
Title
President/Ceo
Phone
(818) 952-2223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY 53639 CA Primary

Addresses

Primary practice location

1808 Verdugo Blvd
Suite 111
Glendale, CA 91208-1477

Mailing address

1808 Verdugo Blvd
Suite 111
Glendale, CA 91208-1477
Phone (818) 952-2223

Other identifiers 2

IdentifierTypeStateIssuer
PHA311120MedicaidCA
2141882OtherCAPK

Other names 2

  • USC Verdugo Hills Professional Pharmacy Doing business as
  • VERDUGO HILLS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111031000228 CA Part B Supplier - Mass Immunization (Roster Biller Only) 5597658633 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Glendale, CA; Los Angeles, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
University of Southern California2 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

1000 S Fremont Ave
#10150
Alhambra, CA 91803
Phone (855) 885-2600

125 W Huntington Dr
Ste A300
Arcadia, CA 91007

1808 Verdugo Blvd
Ste 109
Glendale, CA 91208
Phone (818) 949-4011

1818 Verdugo Blvd
Ste 103
Glendale, CA 91208
Phone (818) 952-2239

1200 N State St
#D
Los Angeles, CA 90089
Phone (323) 226-6507

1441 Eastlake Ave
Ste 5409
Los Angeles, CA 90089
Phone (323) 865-0563

1450 San Pablo St
Ste 4401
Los Angeles, CA 90033
Phone (323) 442-6050

1510 San Pablo St
Fl 2
Los Angeles, CA 90033
Phone (323) 442-5908

1520 San Pablo St
#1600
Los Angeles, CA 90033
Phone (323) 442-7450

1520 San Pablo St
#350
Los Angeles, CA 90033

1520 San Pablo St
#4105
Los Angeles, CA 90033

1520 San Pablo St
Ste 220
Los Angeles, CA 90033
Phone (323) 442-6050

1840 N Soto St
Rm 178
Los Angeles, CA 90032
Phone (323) 224-7111

2011 Zonal Ave
Ste 310
Los Angeles, CA 90089
Phone (323) 442-1156

2250 Alcazar St
Ste 107
Los Angeles, CA 90089
Phone (323) 442-2920

3601 Trousdale Pkwy
Ste 100
Los Angeles, CA 90089
Phone (213) 740-2738

830 S Flower St
#A100
Los Angeles, CA 90017
Phone (213) 486-8620

925 W 34th St
#1240
Los Angeles, CA 90089
Phone (213) 740-7405

925 W 34th St
Rm 144
Los Angeles, CA 90089
Phone (213) 740-5094

925 W 34th St
Rm 151
Los Angeles, CA 90089
Phone (213) 740-3410

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1144615550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 VERDUGO BLVD",
            "address_2": "SUITE 111",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081477",
            "telephone_number": "818-952-2223",
            "fax_number": "818-952-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 VERDUGO BLVD",
            "address_2": "SUITE 111",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081477",
            "telephone_number": "818-952-2223",
            "fax_number": "818-952-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDUGO HILLS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "DER-HARTUNIAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-952-2223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 53639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA311120",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141882",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USC Verdugo Hills Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VERDUGO HILLS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.

Verify at the official NPI Registry.