De la Star Pharmacy,Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

452190 Issued in CA

Legal business name

DE LA STAR PHARMACY,INC

Practice address

1721 W Magnolia Blvd
Burbank, CA 91506-1839

Phone

(818) 566-7262

Fax

(818) 566-7500

NPI assigned

Jun 24, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Aregnaz Fayroyan

Title

Ceo / Owner

Phone

(818) 566-7262

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DE LA STAR PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1295731057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061839",
            "telephone_number": "818-566-7262",
            "fax_number": "818-566-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061839",
            "telephone_number": "818-566-7262",
            "fax_number": "818-566-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LA STAR PHARMACY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "FAYROYAN",
        "authorized_official_first_name": "AREGNAZ",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "818-566-7262",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "452190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2824734",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DE LA STAR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet De la Cruz
• Karla De la Cruz
• Jasmine De la Cueva-Osorio
• Esmeralda De la Rosa
• De la Star Pharmacy
• Lorraine De la Torre, ACSW
• Lironna De Los Struggs
• Donna Marie De Luna
• Jose M. De San Juan, C.M.T.
• Valeria De Santiago

• Pharmacy in Burbank, CA
• Providers in Burbank, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.