4 Life RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY45089 Issued in CA

Legal business name

4 LIFE RX INC

Doing business as

4 Life RX

Practice address

19554 Ventura Blvd
Tarzana, CA 91356-2917

Phone

(818) 342-2636

Fax

(818) 342-3380

NPI assigned

Oct 7, 2006

Last updated

Mar 23, 2017By 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

Vahe George Garibian

Title

Ceo

Phone

(818) 342-2636

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• 4 LIFE RX Doing business as

Locations

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1275620460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19554 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562917",
            "telephone_number": "818-342-2636",
            "fax_number": "818-342-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19554 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562917",
            "telephone_number": "818-342-2636",
            "fax_number": "818-342-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 LIFE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "GARIBIAN",
        "authorized_official_first_name": "VAHE GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-342-2636"
    },
    "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": "PHY45089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA450890",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1996798",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4 LIFE RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 2 Entrepreneurs Inc (Gil Kajiki Chiropractic)
• 24-7 Hospice Care
• 4 Healthy Living Detox Inc
• 4Care Group
• 7 Star Recovery LLC
• 911 Detox Center Inc.
• 911 Home Health Care Services Inc
• A & a Home Health Care Services

• Community/Retail Pharmacy in Tarzana, CA
• Providers in Tarzana, 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 Mar 23, 2017; 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.