N E a Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50049 Issued in CA

Legal business name

N E A CORPORATION

Doing business as

St Mary's Pharmacy and Medical Supplies

Practice address

800 S Central Ave Ste a
Glendale, CA 91204-4370

Phone

(323) 722-0778

Fax

(323) 278-1121

NPI assigned

Jun 19, 2007

Last updated

Nov 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vartan Gevorkian

Title

Vice President

Phone

(323) 722-0778

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St Mary's Pharmacy and Medical Supplies Doing business as

Tax ID family

N E a Corporation2 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.

• Nea Corporation

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
  • NPI 1043304314
  NPD tax ID

Locations

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1215132105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 HOLLYWOOD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900274908",
            "telephone_number": "323-461-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044370",
            "telephone_number": "323-722-0778",
            "fax_number": "323-278-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N E A CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "GEVORKIAN",
        "authorized_official_first_name": "VARTAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "323-722-0778"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0598586",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Mary's Pharmacy and Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Allen Myles, M.D.
• Jae Hong Myung, DDS
• MZP Drugs Inc (Glendale Med Zone Pharmacy)
• MZP Drugs Inc (Glendale Medzone Pharmacy)
• N a L Home Health Care Inc
• N.S. Hospice, Inc.
• N.T. Transportation Services, Inc. (RN Medical Transportation)
• N&I Hospice, Inc.
• NA&TJ Inc (Meadow Psychotherapy Services)
• Natalie Nabih, LMFT

• 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 Nov 8, 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.