NPIMap

Organization Active NPI

Margarita Kazarian

Doing business as Adams Square Pharmacy

  • Community/Retail Pharmacy
  • Glendale, CA
National Provider Identifier
1184724130
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY40833 Issued in CA
Legal business name
MARGARITA KAZARIAN
Doing business as
Adams Square Pharmacy
Practice address
1122A E Chevy Chase Dr
Glendale, CA 91205-2511
Phone
(818) 242-1731
Fax
(818) 242-6874
NPI assigned
Sep 22, 2006
Last updated
Oct 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Julia PerezNPI 1578691986
Title
MGR
Phone
(818) 242-1731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY40833 CA Primary

Addresses

Primary practice location

1122A E Chevy Chase Dr
Glendale, CA 91205-2511

Mailing address

1122A E Chevy Chase Dr
Glendale, CA 91205-2511
Phone (818) 242-1731

Other identifiers 2

IdentifierTypeStateIssuer
PHA408330MedicaidCA
0516700OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ADAMS SQUARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1122 E Chevy Chase Dr
#A
Glendale, CA 91205
Phone (818) 242-1731

1122 E Chevy Chase Dr
Ste A
Glendale, CA 91205
Phone (818) 242-1731

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1184724130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122A E CHEVY CHASE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052511",
            "telephone_number": "818-242-1731",
            "fax_number": "818-242-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122A E CHEVY CHASE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052511",
            "telephone_number": "818-242-1731",
            "fax_number": "818-242-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARITA KAZARIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "818-242-1731"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY40833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA408330",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0516700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADAMS SQUARE 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 Oct 28, 2010; 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.