Organization Active NPI

Golden State Specialty Pharmacy

  • Pharmacy
  • Burbank, CA
National Provider Identifier
1376084202
Registry record updated Mar 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY54580 Issued in CA
Legal business name
GOLDEN STATE SPECIALTY PHARMACY
Practice address
325 N Victory Blvd
Burbank, CA 91502-1841
Phone
(888) 658-0801
NPI assigned
Mar 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2017

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

Authorized official

Name
Armen Apoyan
Title
Cfo
Phone
(888) 658-0801

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY54580 CA Primary
Community/Retail Pharmacy 3336C0003X PHY54580 CA
Long Term Care Pharmacy 3336L0003X PHY54580 CA
Mail Order Pharmacy 3336M0002X PHY54580 CA

Addresses

Primary practice location

325 N Victory Blvd
Burbank, CA 91502-1841

Mailing address

325 N Victory Blvd
Burbank, CA 91502-1841
Phone (888) 658-0801

National Provider Directory

National Provider Directory

Locations

325 N Victory Blvd
Burbank, CA 91502
Phone (818) 497-3476

Practitioners & affiliated clinicians

Practitioners 2

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": "1489190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489190400000",
    "number": "1376084202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N VICTORY BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021841",
            "telephone_number": "888-658-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N VICTORY BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021841",
            "telephone_number": "888-658-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE SPECIALTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-11",
        "last_updated": "2017-03-11",
        "status": "A",
        "authorized_official_last_name": "APOYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "888-658-0801"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY54580",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY54580",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY54580",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "CA",
            "license": "PHY54580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 11, 2017; 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.