Canby Care Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CANBY CARE INC

Doing business as

THE MEDICINE SHOPPE

Practice address

18327 Sherman Way
Reseda, CA 91335-4425

Phone

(747) 267-2777

Fax

(747) 267-1777

NPI assigned

Mar 19, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Liana Margaryan

Title

President/Owner

Phone

(747) 267-2777

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• THE MEDICINE SHOPPE Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Canby Care Inc2 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.

• Canby Care Inc

  • Long Term Care Pharmacy
  • Reseda, CA
  • NPI 1699402792
  NPD tax ID

Locations

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1235523093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18327 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354425",
            "telephone_number": "747-267-2777",
            "fax_number": "747-267-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18327 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354425",
            "telephone_number": "747-267-2777",
            "fax_number": "747-267-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANBY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "MARGARYAN",
        "authorized_official_first_name": "LIANA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "747-267-2777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235523093",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "PHY57133",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Melissa Hikari-Luttio Campbell, MD
• Sheila Canales, OT
• Canby Care Inc
• Canby Community Clinic Inc
• Canby Dental
• Canby Retirement Corporation
• Canby Retirement Corporation

• Community/Retail Pharmacy in Reseda, CA
• Providers in Reseda, 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 Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.