Active NPI
Grand Polite Inc.
- Community/Retail Pharmacy
- Tujunga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GRAND POLITE INC.
- Practice address
- 6624 Foothill Blvd
Tujunga, CA 91042 - Phone
- (818) 875-4053
- Fax
- (818) 875-4063
- NPI assigned
- Oct 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arthur Karo Hagopian, PHARM D.
- Title
- Pharmacist
- Phone
- (818) 624-5010
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
6624 Foothill Blvd
Tujunga, CA 91042
Mailing address
6624 Foothill Blvd
Tujunga, CA 91042
Phone (818) 875-4053
Other names 2
- pacific medical phamrcy
- pacific medical pharmacy 3
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220224000438 | CA | DME Supplier - Pharmacy | 3072907641 | Practice locations: Tujunga, CA |
| O20220829002481 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 3072907641 | Practice locations: Tujunga, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2276195 | Pacific Medical Pharmacy #3 | Certificate of waiver | Feb 2, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pacific Medical Pharmacy 3 | Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
6624 Foothill Blvd
Tujunga, CA 91042
Phone (818) 875-4053
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Glendale, CA
- NPI 1417469081
-
- Pharmacist
- Glendale, CA
- NPI 1255603791
-
- Pharmacist
- Porter Ranch, CA
- NPI 1629822242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661299200000",
"number": "1184387615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6624 FOOTHILL BLVD",
"city": "TUJUNGA",
"state": "CA",
"postal_code": "91042",
"telephone_number": "818-875-4053",
"fax_number": "818-875-4063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6624 FOOTHILL BLVD",
"city": "TUJUNGA",
"state": "CA",
"postal_code": "91042",
"telephone_number": "818-875-4053",
"fax_number": "818-875-4063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND POLITE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-21",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A",
"authorized_official_last_name": "HAGOPIAN",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "KARO",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "818-624-5010",
"authorized_official_credential": "PHARM D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "pacific medical phamrcy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "pacific medical pharmacy 3",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "pacific medical pharmacy 3",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tujunga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.