Organization Active NPI

Legacy Pharmacy Inc

  • Community/Retail Pharmacy
  • Mission Hills, CA
National Provider Identifier
1255296166
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LEGACY PHARMACY INC
Practice address
10630 Sepulveda Blvd Ste 160
Mission Hills, CA 91345-1938
Phone
(747) 202-1888
Fax
(747) 202-1889
NPI assigned
Dec 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Aram Boyadzhyan, PHARM D
Title
President/Ceo
Phone
(747) 202-1888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

10630 Sepulveda Blvd Ste 160
Mission Hills, CA 91345-1938

Mailing address

10630 Sepulveda Blvd Ste 160
Mission Hills, CA 91345-1938
Phone (747) 202-1888

Other identifiers 1

IdentifierTypeStateIssuer
PHY60785OtherCABOP

Other names 1

  • LEGACY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

10630 Sepulveda Blvd
Ste 160
Mission Hills, CA 91345
Phone (747) 202-1888

NPI Registry JSON

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1255296166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 SEPULVEDA BLVD STE 160",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451938",
            "telephone_number": "747-202-1888",
            "fax_number": "747-202-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 SEPULVEDA BLVD STE 160",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451938",
            "telephone_number": "747-202-1888",
            "fax_number": "747-202-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "BOYADZHYAN",
        "authorized_official_first_name": "ARAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "747-202-1888",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOP",
            "identifier": "PHY60785",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEGACY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.