Active NPI
Pacific Medical Pharmacy Inc
- Community/Retail Pharmacy
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 47398
- 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, 2015
- 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
- Miss Talin Arakelian
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba Pacific Medical Pharmacy
- Community/Retail Pharmacy
- Glendale, CA
- NPI 1861596819
O20180202001620
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Glendale, CA
- NPI 1255603791
-
- Pharmacist
- Glendale, CA
- NPI 1962901918
-
- Pharmacist
- Glendale, CA
- NPI 1134311921
-
- Pharmacist
- Glendale, CA
- NPI 1417469081
-
- Pharmacist
- Glendale, CA
- NPI 1205618576
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
- Pacific Clinics
- Pacific Dental Care
- Pacific Health Medical Group
- Pacific Hills Neurosurgical Medical Group, Inc
- Pacific Home Healthcare
- Pacific Medical Pharmacy Inc (Pacific Medical Pharmacy)
- Pacific Multi Specialty Medical Group, Inc.
- Pacific Park Healthcare Center LLC
- Pacific Shores Medical Group, Inc.
- Pacific West Wellness Center Beltran Chiropractic Inc
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.