Victory Plaza Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VICTORY PLAZA PHARMACY INC

Doing business as

Victory Plaza Pharmacy

Practice address

18515 Victory Blvd
Reseda, CA 91335-6440

Phone

(818) 600-8283

Fax

(818) 600-8289

NPI assigned

Aug 3, 2021

Last updated

Aug 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marjan Sharifi, PHARM DNPI 1669083499

Title

President/Ceo

Phone

(818) 600-8283

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• VICTORY PLAZA PHARMACY Doing business as

Locations

Practitioners 1

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.

• Marjan Sharifi

  • Pharmacist
  • Indio, CA
  • NPI 1669083499
  NPD Authorized official

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1144994336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18515 VICTORY BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356440",
            "telephone_number": "818-600-8283",
            "fax_number": "818-600-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18515 VICTORY BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356440",
            "telephone_number": "818-600-8283",
            "fax_number": "818-600-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY PLAZA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "SHARIFI",
        "authorized_official_first_name": "MARJAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-600-8283",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY58219",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICTORY PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Reseda, CA
• Providers in Reseda, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.