Organization Active NPI

Dr. Ike, Inc.

  • Community/Retail Pharmacy
  • Studio City, CA
National Provider Identifier
1306277298
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
51681 Issued in CA
Legal business name
DR. IKE, INC.
Practice address
11738 Ventura Blvd.
Studio City, CA 91604
Phone
(818) 432-2484
Fax
(818) 432-2488
NPI assigned
Dec 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Ayk DzhragatspanyanNPI 1356884811
Title
President/Pic
Phone
(818) 432-2484

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 51681 CA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

11738 Ventura Blvd.
Studio City, CA 91604

Mailing address

11736 Ventura Blvd
Studio City, CA 91604-2615
Phone (818) 432-2484

Other identifiers 1

IdentifierTypeStateIssuer
2143140OtherPK

Other names 1

  • Dr. Ike's PharmaCare Doing business as

National Provider Directory

National Provider Directory

Locations

11738 Ventura Blvd
Studio City, CA 91604
Phone (818) 432-2484

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1306277298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11736 VENTURA BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042615",
            "telephone_number": "818-432-2484",
            "fax_number": "818-432-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11738 VENTURA BLVD.",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "91604",
            "telephone_number": "818-432-2484",
            "fax_number": "818-432-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. IKE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "DZHRAGATSPANYAN",
        "authorized_official_first_name": "AYK",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "818-432-2484"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51681",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143140",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Ike's PharmaCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.

Verify at the official NPI Registry.