Organization Active NPI

Goho Inc.

Doing business as Elite Pharmacy

  • Community/Retail Pharmacy
  • Tarzana, CA
National Provider Identifier
1285144576
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GOHO INC.
Doing business as
Elite Pharmacy
Practice address
18155 Ventura Blvd
Tarzana, CA 91356-3616
Phone
(818) 342-6000
Fax
(818) 900-6399
NPI assigned
Oct 2, 2017
Last updated
May 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Liana Hovakimyan
Title
Ceo
Phone
(818) 342-6000

Specialties & licenses 1

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

Addresses

Primary practice location

18155 Ventura Blvd
Tarzana, CA 91356-3616

Mailing address

18155 Ventura Blvd
Tarzana, CA 91356-3616
Phone (818) 342-6000

Other identifiers 1

IdentifierTypeStateIssuer
59340OtherCACA BOARD OF PHARMACY

Other names 1

  • ELITE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180609000134 CA DME Supplier - Pharmacy 4284991704 Practice locations: Tarzana, CA
O20210414002613 CA Part B Supplier - Mass Immunization (Roster Biller Only) 4284991704 Practice locations: Tarzana, CA

National Provider Directory

National Provider Directory

Locations

18155 Ventura Blvd
Tarzana, CA 91356
Phone (818) 342-6000

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1285144576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18155 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563616",
            "telephone_number": "818-342-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18155 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563616",
            "telephone_number": "818-342-6000",
            "fax_number": "818-900-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOHO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "HOVAKIMYAN",
        "authorized_official_first_name": "LIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-342-6000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF PHARMACY",
            "identifier": "59340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.