Active NPI
Victor Ohan
- Pharmacist
- Glendale, CA
National Provider Identifier
1295589190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85492
- Practice address
- 839 W Glenoaks Blvd
Glendale, CA 91202-2133 - Phone
- (818) 600-0777
- NPI assigned
- Apr 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 85492 | CA | Primary |
Addresses
Primary practice location
839 W Glenoaks Blvd
Glendale, CA 91202-2133
Mailing address
2011 S Primrose Ave
Alhambra, CA 91803-2937
Phone (209) 244-4304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85492 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primemed Pharmacy Inc | Current | Accepting new patients | |
| Primemed Pharmacy Inc | Current | Accepting new patients |
Locations
839 W Glenoaks Blvd
Glendale, CA 91202
Phone (818) 600-0777
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Glendale, CA
- NPI 1467981100
-
- Long Term Care Pharmacy
- Glendale, CA
- NPI 1619705571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1295589190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 S PRIMROSE AVE",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918032937",
"telephone_number": "209-244-4304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 W GLENOAKS BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912022133",
"telephone_number": "818-600-0777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHAN",
"first_name": "VICTOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.