Active NPI
Kyffin Pharmacy Inc
- Pharmacist
- Van Nuys, CA
National Provider Identifier
1235236191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHY46023
- Legal business name
- KYFFIN PHARMACY INC
- Practice address
- 6000 Woodman Ave
Van Nuys, CA 91401-6310 - Phone
- (818) 781-3219
- Fax
- (818) 988-2980
- NPI assigned
- Sep 20, 2006
- 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
- Mrs. Mira J Zeffren
- Title
- President and Ceo
- Phone
- (818) 781-3219
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHY46023 | CA | Primary |
Addresses
Primary practice location
6000 Woodman Ave
Van Nuys, CA 91401-6310
Mailing address
6000 Woodman Ave
Van Nuys, CA 91401-6310
Phone (818) 781-3219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA460230 | Medicaid | CA |
Other names 1
- KYFFIN PHARMACY
National Provider Directory
National Provider DirectoryLocations
6000 Woodman Ave
Van Nuys, CA 91401
Phone (310) 770-2842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235236191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 WOODMAN AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914016310",
"telephone_number": "818-781-3219",
"fax_number": "818-988-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 WOODMAN AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914016310",
"telephone_number": "818-781-3219",
"fax_number": "818-988-2980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KYFFIN PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ZEFFREN",
"authorized_official_first_name": "MIRA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "818-781-3219",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "PHY46023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA460230",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KYFFIN PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.