Organization Active NPI

Arka RX Inc

  • Community/Retail Pharmacy
  • Glendale, CA
National Provider Identifier
1144845819
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ARKA RX INC
Practice address
621 E Glenoaks Blvd Ste C
Glendale, CA 91207-1775
Phone
(818) 937-9394
NPI assigned
Jun 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Artak HarutyunyanNPI 1962866335
Title
Owner/Pic
Phone
(818) 937-9394

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

Specialties & licenses 1

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

Addresses

Primary practice location

621 E Glenoaks Blvd Ste C
Glendale, CA 91207-1775

Mailing address

621 E Glenoaks Blvd Ste C
Glendale, CA 91207-1775

Other names 1

  • ARKA PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200910001713 CA DME Supplier - Pharmacy 6103244900 Practice locations: Glendale, CA
O20210403000006 CA Part B Supplier - Mass Immunization (Roster Biller Only) 6103244900 Practice locations: Glendale, CA

National Provider Directory

National Provider Directory
Tax ID family
Arka RX 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1144845819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 E GLENOAKS BLVD STE C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E GLENOAKS BLVD STE C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071775",
            "telephone_number": "818-937-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKA RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "HARUTYUNYAN",
        "authorized_official_first_name": "ARTAK",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "818-937-9394"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARKA 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 Jun 9, 2020; 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.