Organization Active NPI

My RX Pharma Inc

Doing business as Myrx Pharma

  • Community/Retail Pharmacy
  • North Hollywood, CA
National Provider Identifier
1164158333
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MY RX PHARMA INC
Doing business as
Myrx Pharma
Practice address
12801 Victory Blvd Unit B
North Hollywood, CA 91606-3012
Phone
(818) 860-4122
Fax
(818) 860-4118
NPI assigned
Jul 28, 2022
Last updated
Mar 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Anahit Markaryan
Title
President/Ceo
Phone
(818) 860-4122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

12801 Victory Blvd Unit B
North Hollywood, CA 91606-3012

Mailing address

12801 Victory Blvd Unit B
North Hollywood, CA 91606-3012
Phone (818) 860-4122

Other identifiers 1

IdentifierTypeStateIssuer
PHY58808OtherCABOARD OF PHARMACY

Other names 1

  • MYRX PHARMA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230519000188 CA DME Supplier - Pharmacy 8921464835 Practice locations: North Hollywood, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
My RX Pharma12801 Victory Blvd, North Hollywood, CA 91606-3012(818) 860-4122 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jul 10, 2023

National Provider Directory

National Provider Directory

Locations

12801 Victory Blvd
#B
North Hollywood, CA 91606
Phone (818) 860-4122

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1164158333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 VICTORY BLVD UNIT B",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063012",
            "telephone_number": "818-860-4122",
            "fax_number": "818-860-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 VICTORY BLVD UNIT B",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063012",
            "telephone_number": "818-860-4122",
            "fax_number": "818-860-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY RX PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "MARKARYAN",
        "authorized_official_first_name": "ANAHIT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-860-4122"
    },
    "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": "PHY58808",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MYRX PHARMA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MYRX PHARMA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.