Organization Active NPI

La Care RX, Inc.

  • Community/Retail Pharmacy
  • Van Nuys, CA
National Provider Identifier
1275263204
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LA CARE RX, INC.
Practice address
15243 Vanowen St Ste 100
Van Nuys, CA 91405-3635
Phone
(818) 523-7700
NPI assigned
Jun 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Sergey Hakobyan
Title
Owner
Phone
(818) 394-6521

Specialties & licenses 1

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

Addresses

Primary practice location

15243 Vanowen St Ste 100
Van Nuys, CA 91405-3635

Mailing address

15243 Vanowen St Ste 100
Van Nuys, CA 91405-3635
Phone (818) 523-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231127000285 CA Part B Supplier - Pharmacy 8022466440 Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

Locations

15243 Vanowen St
Ste 100
Van Nuys, CA 91405
Phone (818) 394-6521

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1275263204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST STE 100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053635",
            "telephone_number": "818-523-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST STE 100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053635",
            "telephone_number": "818-523-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CARE RX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "HAKOBYAN",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-394-6521"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.