Active NPI
Church Capital LLC
- Community/Retail Pharmacy
- Van Nuys, CA
National Provider Identifier
1295812345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY 51231
- Legal business name
- CHURCH CAPITAL LLC
- Practice address
- 7400 Van Nuys Blvd
Unit 101
Van Nuys, CA 91405-1966 - Phone
- (818) 997-7000
- Fax
- (818) 997-7003
- NPI assigned
- Nov 1, 2006
- 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
- Mr. Armen Manoukian, RPH
- Title
- Member/Pic
- Phone
- (818) 997-7000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY51231 | CA | |
| Community/Retail Pharmacy | 3336C0003X | PHY 51231 | CA | Primary |
Addresses
Primary practice location
7400 Van Nuys Blvd
Unit 101
Van Nuys, CA 91405-1966
Mailing address
7400 Van Nuys Blvd
Unit 101
Van Nuys, CA 91405-1966
Phone (818) 997-7000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05-67199 | Other | CA | NCPDP |
| 1295812345 | Other | CA | MEDI-CAL PROVIDER NUMNER |
| PHY51231 | Other | CA | CALIFORNIA STATE BOARD OF PHARMACY PERMIT |
Other names 1
- MEDICINE LAND PHARMACY
National Provider Directory
National Provider DirectoryLocations
7400 Van Nuys Blvd
Ste 101
Van Nuys, CA 91405
Phone (818) 997-7000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364256000000",
"number": "1295812345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 VAN NUYS BLVD",
"address_2": "UNIT 101",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914051966",
"telephone_number": "818-997-7000",
"fax_number": "818-997-7003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 VAN NUYS BLVD",
"address_2": "UNIT 101",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914051966",
"telephone_number": "818-997-7000",
"fax_number": "818-997-7003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHURCH CAPITAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2013-03-26",
"status": "A",
"authorized_official_last_name": "MANOUKIAN",
"authorized_official_first_name": "ARMEN",
"authorized_official_title_or_position": "MEMBER/PIC",
"authorized_official_telephone_number": "818-997-7000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY51231",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY 51231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "05-67199",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER NUMNER",
"identifier": "1295812345",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE BOARD OF PHARMACY PERMIT",
"identifier": "PHY51231",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDICINE LAND PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.