Organization Active NPI

Luna Pharmacy Inc.

Doing business as Luna Pharmacy

  • Community/Retail Pharmacy
  • Burbank, CA
National Provider Identifier
1346983434
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LUNA PHARMACY INC.
Doing business as
Luna Pharmacy
Practice address
2809 N Glenoaks Blvd Unit B
Burbank, CA 91504-2604
Phone
(818) 303-3038
NPI assigned
Apr 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Shushan Khorozyan
Title
Owner
Phone
(818) 303-3038

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2809 N Glenoaks Blvd Unit B
Burbank, CA 91504-2604

Mailing address

2809 N Glenoaks Blvd Unit B
Burbank, CA 91504-2604

Other identifiers 1

IdentifierTypeStateIssuer
1346983434-01MedicaidCA

Other names 1

  • Luna Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220613001268 CA Part B Supplier - Pharmacy 6709264278 Practice locations: Burbank, CA
O20220919000826 CA DME Supplier - Pharmacy 6709264278 Practice locations: Burbank, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Luna Pharmacy2809 N Glenoaks Blvd, Burbank, CA 91504-2604(818) 303-3038 Nebulizer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Infrared Heating Pads Systems and/or Supplies|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats… Accepts assignmentParticipating since Apr 19, 2022

National Provider Directory

National Provider Directory

Locations

2809 N Glenoaks Blvd
#B
Burbank, CA 91504
Phone (818) 303-3038

6501 San Fernando Rd
Ste K
Glendale, CA 91201
Phone (818) 246-4433

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": "1650067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1346983434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 N GLENOAKS BLVD UNIT B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 N GLENOAKS BLVD UNIT B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042604",
            "telephone_number": "818-303-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "KHOROZYAN",
        "authorized_official_first_name": "SHUSHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-303-3038"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346983434-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luna Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Luna Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.