Organization Active NPI

Elitemed Inc

Doing business as Medbridge Pharmacy

  • Specialty Pharmacy
  • Granada Hills, CA
National Provider Identifier
1366231003
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
ELITEMED INC
Doing business as
Medbridge Pharmacy
Practice address
10515 Balboa Blvd Ste 125
Granada Hills, CA 91344-6354
Phone
(747) 600-9555
Fax
(747) 600-8866
NPI assigned
Apr 30, 2025
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Adrineh Keshish, PHARM D
Title
President/Ceo
Phone
(747) 600-9555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Specialty Pharmacy 3336S0011X NU Primary

Addresses

Primary practice location

10515 Balboa Blvd Ste 125
Granada Hills, CA 91344-6354

Mailing address

10515 Balboa Blvd Ste 125
Granada Hills, CA 91344-6354
Phone (747) 600-9555

Other identifiers 1

IdentifierTypeStateIssuer
PHY59196OtherCABOARD OF PHARMACY

Other names 1

  • MEDBRIDGE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elitemed Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1366231003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD STE 125",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446354",
            "telephone_number": "747-600-9555",
            "fax_number": "747-600-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD STE 125",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446354",
            "telephone_number": "747-600-9555",
            "fax_number": "747-600-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITEMED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "KESHISH",
        "authorized_official_first_name": "ADRINEH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "747-600-9555",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY59196",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDBRIDGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.