California Drugs, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY42184 Issued in CA

Legal business name

CALIFORNIA DRUGS, INC

Doing business as

Central Drugs

Practice address

730 S Central Ave
Ste 117
Glendale, CA 91204-2061

Phone

(818) 956-1577

Fax

(818) 244-5308

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Mihran Dermenjian, PHARM.D.NPI 1043952914

Title

Ceo

Phone

(818) 956-1577

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CENTRAL DRUGS Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

California Drugs 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.

• California Drugs, Inc

  dba Central Drugs LTC

  • Long Term Care Pharmacy
  • Glendale, CA
  • NPI 1225961584
  NPD tax ID

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.

• Mihran Dermenjian, PHARM.D.

  • Pharmacist
  • Glendale, CA
  • NPI 1043952914
  NPD Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1164506283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S CENTRAL AVE",
            "address_2": "STE 117",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042061",
            "telephone_number": "818-956-1577",
            "fax_number": "818-244-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S CENTRAL AVE",
            "address_2": "STE 117",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042061",
            "telephone_number": "818-956-1577",
            "fax_number": "818-244-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA DRUGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "DERMENJIAN",
        "authorized_official_first_name": "MIHRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-956-1577",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY42184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065172",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA421840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRAL DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• California Care Corporation
• California Care Corporation
• California Care Corporation
• California Care Inc
• California Cover Home Health
• California Drugs, Inc (Central Drugs LTC)
• California Emergency Physicians Medical Group a Professional Corp
• California Emergency Physicians Medical Group, a Professional Corp. (Vituity)
• California Healthfirst Physicians
• California Hearing Center

• Community/Retail Pharmacy in Glendale, CA
• Providers in Glendale, 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 Apr 11, 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.

Verify at the official NPI Registry.