North Valley Pharmacy and Medical Supplies Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY48923 Issued in CA

Legal business name

NORTH VALLEY PHARMACY AND MEDICAL SUPPLIES INC

Doing business as

North Valley Pharmacy and Medical Supplies Inc

Practice address

11541 Laurel Canyon Blvd
Ste C
San Fernando, CA 91340-4115

Phone

(818) 365-5300

Fax

(818) 365-2221

NPI assigned

Feb 19, 2008

Last updated

Nov 17, 2020By 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

Ndubisi Oguejiofor

Title

Pharmacist in Charge

Phone

(818) 365-5300

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• NORTH VALLEY PHARMACY AND MEDICAL SUPPLIES INC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

North Valley Pharmacy and Medical Supplies 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.

• North Valley Pharmacy and Medical Supplies Inc

  • Long Term Care Pharmacy
  • San Fernando, CA
  • NPI 1295588564
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kingsley Ogoh

  • Pharmacist
  • San Fernando, CA
  • NPI 1255630083
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1255509741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11541 LAUREL CANYON BLVD",
            "address_2": "STE C",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404115",
            "telephone_number": "818-365-5300",
            "fax_number": "818-365-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11541 LAUREL CANYON BLVD",
            "address_2": "STE C",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404115",
            "telephone_number": "818-365-5300",
            "fax_number": "818-365-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY PHARMACY AND MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "OGUEJIOFOR",
        "authorized_official_first_name": "NDUBISI",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "818-365-5300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48923",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255509741",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2113106",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH VALLEY PHARMACY AND MEDICAL SUPPLIES INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTH VALLEY PHARMACY AND MEDICAL SUPPLIES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noble Care Medical Group, Inc (San Fernando Medical Center)
• Jazmin Nol
• Shirin Noori, RBT
• Stacy E Noriega
• North Valley Diagnostics Services, Inc.
• North Valley Pharmacy and Medical Supplies Inc
• Northeast Valley Health Corporation
• Northeast Valley Health Corporation
• Northeast Valley Health Corporation (San Fernando Health Center)
• Northeast Valley Health Corporation

• Community/Retail Pharmacy in San Fernando, CA
• Providers in San Fernando, 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 Nov 17, 2020; 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.