Organization Active NPI

Kyffin Pharmacy Inc

  • Pharmacist
  • Van Nuys, CA
National Provider Identifier
1235236191
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY46023 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PHA460230MedicaidCA

Other names 1

  • KYFFIN PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.