Organization Active NPI

Im Pharmacy Inc

  • Pharmacist
  • Burbank, CA
National Provider Identifier
1275340978
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
IM PHARMACY INC
Practice address
10970 Sherman Way Ste 110
Burbank, CA 91505-1003
Phone
(818) 847-8600
Fax
(818) 847-8698
NPI assigned
Dec 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Igor Martinov, PHARMD
Title
Pic/Owner
Phone
(818) 847-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

10970 Sherman Way Ste 110
Burbank, CA 91505-1003

Mailing address

10970 Sherman Way Ste 110
Burbank, CA 91505-1003
Phone (818) 847-8600

Other names 1

  • KD Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Im Pharmacy 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.

Locations

10970 Sherman Way
Ste 110
Burbank, CA 91505
Phone (818) 847-8600

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1275340978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10970 SHERMAN WAY STE 110",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051003",
            "telephone_number": "818-847-8600",
            "fax_number": "818-847-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10970 SHERMAN WAY STE 110",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051003",
            "telephone_number": "818-847-8600",
            "fax_number": "818-847-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "MARTINOV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "818-847-8600",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KD Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.