Active NPI
Goho Inc.
Doing business as Elite Pharmacy
- Community/Retail Pharmacy
- Tarzana, CA
National Provider Identifier
1285144576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59340 | Other | CA | CA BOARD OF PHARMACY |
Other names 1
- ELITE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.