Organization Active NPI

Pacific Medical Pharmacy Inc

  • Community/Retail Pharmacy
  • Glendale, CA
National Provider Identifier
1336526698
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
47398 Issued in CA
Legal business name
PACIFIC MEDICAL PHARMACY INC
Practice address
808 E California Ave
Glendale, CA 91206-3705
Phone
(818) 696-2034
NPI assigned
May 6, 2015
Last updated
May 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Miss Talin ArakelianNPI 1255603791
Title
Vice President
Phone
(818) 548-1330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 47398 CA Primary

Addresses

Primary practice location

808 E California Ave
Glendale, CA 91206-3705

Mailing address

808 E California Ave
Glendale, CA 91206-3705
Phone (818) 696-2034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180202001620 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1254451792 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Glendale, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1101 N Pacific Ave
Ste 101
Glendale, CA 91202
Phone (818) 548-1330

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1336526698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 E CALIFORNIA AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063705",
            "telephone_number": "818-696-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 E CALIFORNIA AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063705",
            "telephone_number": "818-696-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "ARAKELIAN",
        "authorized_official_first_name": "TALIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "818-548-1330",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "47398",
            "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 May 6, 2015; 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.