Victory Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VICTORY PHARMACY

Practice address

18517 Victory Blvd
Reseda, CA 91335-6440

Phone

(818) 600-8283

NPI assigned

Feb 19, 2025

Last updated

Feb 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maziar Javaherifar

Title

Owner

Phone

(818) 600-8283

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1255137501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18517 VICTORY BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356440",
            "telephone_number": "818-600-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18517 VICTORY BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356440",
            "telephone_number": "818-600-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "JAVAHERIFAR",
        "authorized_official_first_name": "MAZIAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-600-8283"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicente Velasquez
• Cynthia E Velazquez
• Vert Physical Therapy la LP
• Vert San Fernando Valley Inc (VERT Sports Therapy and Rehabilitation)
• Veteran Scholarship Fund
• Victory Plaza Pharmacy Inc (Victory Plaza Pharmacy)
• Vida's Gallery
• Isaac Vielma, M.D.
• Vigor Home Health, Inc.
• Isabel Villanueva

• 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 Feb 19, 2025; 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.