Active NPI
Recovery Pharmaceuticals Inc
Doing business as Knollwood Pharmacy
- Community/Retail Pharmacy
- Granada Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY47109
- Legal business name
- RECOVERY PHARMACEUTICALS INC
- Doing business as
- Knollwood Pharmacy
- Practice address
- 16911 San Fernando Mission Blvd
Granada Hills, CA 91344 - Phone
- (818) 363-8107
- Fax
- (818) 831-2024
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Milad Tossoun, RPH
- Title
- President, Pic
- Phone
- (818) 363-8107
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY47109 | CA | Primary |
Addresses
Primary practice location
16911 San Fernando Mission Blvd
Granada Hills, CA 91344
Mailing address
16911 San Fernando Mission Blvd
Granada Hills, CA 91344-4250
Phone (818) 363-8107
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255342747 | Other | CA | NPI |
| PHA344990 | Medicaid | CA |
Other names 1
- Knollwood Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110222001193 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5193936797 | Practice locations: Granada Hills, CA |
National Provider Directory
National Provider DirectoryLocations
11862 Balboa Blvd
Granada Hills, CA 91344
Phone (818) 363-8107
16911 San Fernando Mission Blvd
Granada Hills, CA 91344
Phone (818) 363-8107
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Granada Hills, CA
- NPI 1730511619
-
- Pharmacist
- Granada Hills, CA
- NPI 1518789841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529020800000",
"number": "1255342747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16911 SAN FERNANDO MISSION BLVD",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913444250",
"telephone_number": "818-363-8107",
"fax_number": "818-831-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16911 SAN FERNANDO MISSION BLVD",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "91344",
"telephone_number": "818-363-8107",
"fax_number": "818-831-2024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECOVERY PHARMACEUTICALS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2018-06-15",
"status": "A",
"authorized_official_last_name": "TOSSOUN",
"authorized_official_first_name": "MILAD",
"authorized_official_title_or_position": "PRESIDENT, PIC",
"authorized_official_telephone_number": "818-363-8107",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY47109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1255342747",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA344990",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Knollwood Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.