Organization Active NPI

Praevaleo Inc.

  • Specialty Pharmacy
  • Glendale, CA
National Provider Identifier
1215783980
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
PRAEVALEO INC.
Doing business as
SORRENTO SPECIALTY PHARMACY
Practice address
500 N Brand Blvd Ste 490
Glendale, CA 91203-1923
Phone
(888) 266-1165
Fax
(818) 279-2540
NPI assigned
Apr 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Melissa Hairapetian
Title
Ceo
Phone
(888) 266-1165

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

500 N Brand Blvd Ste 490
Glendale, CA 91203-1923

Mailing address

500 N Brand Blvd Ste 490
Glendale, CA 91203-1923
Phone (888) 266-1165

Other names 1

  • SORRENTO SPECIALTY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

500 N Brand Blvd
Ste 490
Glendale, CA 91203
Phone (888) 266-1165

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1215783980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N BRAND BLVD STE 490",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031923",
            "telephone_number": "888-266-1165",
            "fax_number": "818-279-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N BRAND BLVD STE 490",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031923",
            "telephone_number": "888-266-1165",
            "fax_number": "818-279-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAEVALEO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "HAIRAPETIAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-266-1165"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SORRENTO SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SORRENTO SPECIALTY 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 May 14, 2025; 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.