Active NPI
Grace RX Pharmacy Inc
Doing business as Grace Pharmacy
- Community/Retail Pharmacy
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GRACE RX PHARMACY INC
- Doing business as
- Grace Pharmacy
- Practice address
- 1724 E Washington Blvd
Pasadena, CA 91104-2751 - Phone
- (818) 957-5555
- Fax
- (818) 957-5551
- NPI assigned
- Aug 15, 2012
- Last updated
- Dec 22, 2023
- 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
- Madlen Basilyan, PHARM D
- Title
- President/Ceo
- Phone
- (818) 957-5555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1724 E Washington Blvd
Pasadena, CA 91104-2751
Mailing address
1724 E Washington Blvd
Pasadena, CA 91104-2751
Phone (818) 957-5555
Other names 1
- GRACE PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Grace Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Tujunga, CA
- NPI 1003448796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703203200000",
"number": "1295083764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 E WASHINGTON BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911042751",
"telephone_number": "818-957-5555",
"fax_number": "818-957-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 E WASHINGTON BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911042751",
"telephone_number": "818-957-5555",
"fax_number": "818-957-5551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE RX PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-15",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A",
"authorized_official_last_name": "BASILYAN",
"authorized_official_first_name": "MADLEN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "818-957-5555",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GRACE PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "GRACE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.