North Valley Pharmacy and Medical Supplies Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

NORTH VALLEY PHARMACY AND MEDICAL SUPPLIES INC

Practice address

11541 Laurel Canyon Blvd Ste C
San Fernando, CA 91340-4602

Phone

(818) 365-5300

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Ndubisi Oguejiofor

Title

Pic

Phone

(818) 365-5300

Specialties & licenses 2

Addresses

Tax ID family

North Valley Pharmacy and Medical Supplies 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.

• North Valley Pharmacy and Medical Supplies Inc

  • Community/Retail Pharmacy
  • San Fernando, CA
  • NPI 1255509741
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kingsley Ogoh

  • Pharmacist
  • San Fernando, CA
  • NPI 1255630083
  NPD

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1295588564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11541 LAUREL CANYON BLVD STE C",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404602",
            "telephone_number": "818-365-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11541 LAUREL CANYON BLVD STE C",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404602",
            "telephone_number": "818-365-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY PHARMACY AND MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "OGUEJIOFOR",
        "authorized_official_first_name": "NDUBISI",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "818-365-5300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmin Nol
• Shirin Noori, RBT
• Stacy E Noriega
• North Valley Diagnostics Services, Inc.
• North Valley Pharmacy and Medical Supplies Inc
• Northeast Valley Health Corporation
• Northeast Valley Health Corporation
• Northeast Valley Health Corporation
• Northeast Valley Health Corporation
• Northeast Valley Health Corporation

• All providers in San Fernando, CA
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.