Organization Active NPI

Honolulu Pharmacy, Inc

  • Long Term Care Pharmacy
  • Glendale, CA
National Provider Identifier
1245082171
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HONOLULU PHARMACY, INC
Practice address
450 S Central Ave
Glendale, CA 91204-1602
Phone
(818) 242-2233
Fax
(818) 242-2270
NPI assigned
Apr 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Hamlet Haroutyounian
Title
Presidenat/Ceo
Phone
(818) 242-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

450 S Central Ave
Glendale, CA 91204-1602

Mailing address

450 S Central Ave
Glendale, CA 91204-1602
Phone (818) 242-2233

Other identifiers 1

IdentifierTypeStateIssuer
PHY168780MedicaidCA

National Provider Directory

National Provider Directory

Locations

450 S Central Ave
Glendale, CA 91204
Phone (818) 242-2233

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1245082171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041602",
            "telephone_number": "818-242-2233",
            "fax_number": "818-242-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041602",
            "telephone_number": "818-242-2233",
            "fax_number": "818-242-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONOLULU PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "HAROUTYOUNIAN",
        "authorized_official_first_name": "HAMLET",
        "authorized_official_title_or_position": "PRESIDENAT/CEO",
        "authorized_official_telephone_number": "818-242-2233"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY168780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 3, 2024; 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.