Organization Active NPI

Cosmed Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Van Nuys, CA
National Provider Identifier
1356879787
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COSMED PHARMACY, INC.
Practice address
6521 Van Nuys Blvd
Van Nuys, CA 91401-1425
Phone
(818) 933-2010
Fax
(818) 933-2018
NPI assigned
May 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Khanh-Long Thai, PHARM D
Title
Ceo
Phone
(818) 933-2010

Specialties & licenses 1

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

Addresses

Primary practice location

6521 Van Nuys Blvd
Van Nuys, CA 91401-1425

Mailing address

2476 Huntington Dr
San Marino, CA 91108-2643
Phone (818) 933-2010

Other identifiers 1

IdentifierTypeStateIssuer
61319OtherCASTATE BOARD OF PHARMACY

Other names 1

  • 986 Pharmacy #8006 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180827003698 CA Part B Supplier - Mass Immunization (Roster Biller Only) 7416216072 Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1356879787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 HUNTINGTON DR",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082643",
            "telephone_number": "818-933-2010",
            "fax_number": "818-933-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6521 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011425",
            "telephone_number": "818-933-2010",
            "fax_number": "818-933-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMED PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "KHANH-LONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-933-2010",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "61319",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "986 Pharmacy #8006",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.