Active NPI
Sortpak RX Inc
Doing business as Sortpak Pharmacy
- Specialty Pharmacy
- Glendale, CA
National Provider Identifier
1205642246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- SORTPAK RX INC
- Doing business as
- Sortpak Pharmacy
- Practice address
- 655 N Central Ave FL 22
Glendale, CA 91203-1444 - Phone
- (877) 570-7787
- Fax
- (877) 475-2382
- NPI assigned
- Dec 4, 2024
- Last updated
- Dec 4, 2024
- 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
- Angela Simityan
- Title
- Secretary/Cfo
- Phone
- (877) 570-7787
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Specialty Pharmacy | 3336S0011X | NU | Primary |
Addresses
Primary practice location
655 N Central Ave FL 22
Glendale, CA 91203-1444
Mailing address
655 N Central Ave FL 22
Glendale, CA 91203-1444
Phone (877) 570-7787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY59170 | Other | CA | BOARD OF PHARMACY |
Other names 1
- SORTPAK PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Sortpak RX Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Locations
655 N Central Ave
Fl 22
Glendale, CA 91203
Phone (877) 570-7787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733270400000",
"number": "1205642246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 N CENTRAL AVE FL 22",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912031444",
"telephone_number": "877-570-7787",
"fax_number": "877-475-2382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 N CENTRAL AVE FL 22",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912031444",
"telephone_number": "877-570-7787",
"fax_number": "877-475-2382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SORTPAK RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-04",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A",
"authorized_official_last_name": "SIMITYAN",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "SECRETARY/CFO",
"authorized_official_telephone_number": "877-570-7787"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "PHY59170",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SORTPAK 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 Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.