Organization Active NPI

Medex Pharmacies Corp

  • Community/Retail Pharmacy
  • Sunland, CA
National Provider Identifier
1356735369
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
52069 Issued in CA
Legal business name
MEDEX PHARMACIES CORP
Practice address
8441 Foothill Boulvard
Sunland, CA 91040
Phone
(818) 925-1321
Fax
(818) 446-2241
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Dr. Karina Keshishian, PHARM D
Title
Ceo/President/Pic
Phone
(818) 648-4477

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 52069 CA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

8441 Foothill Boulvard
Sunland, CA 91040

Mailing address

8441 Foothill Boulvard
Sunland, CA 91040
Phone (818) 925-1321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171025000360 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1557647880 Practice locations: Sunland, CA

National Provider Directory

National Provider Directory

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": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1356735369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 FOOTHILL BOULVARD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "91040",
            "telephone_number": "818-925-1321",
            "fax_number": "818-446-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8441 FOOTHILL BOULVARD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "91040",
            "telephone_number": "818-925-1321",
            "fax_number": "818-446-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEX PHARMACIES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "KESHISHIAN",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "CEO/PRESIDENT/PIC",
        "authorized_official_telephone_number": "818-648-4477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "52069",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.