Organization Active NPI

KSGS RX Inc

  • Long Term Care Pharmacy
  • Woodland Hills, CA
National Provider Identifier
1376201947
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KSGS RX INC
Practice address
21910 Ventura Blvd
Woodland Hills, CA 91364-1724
Phone
(747) 254-3331
Fax
(747) 254-3332
NPI assigned
Dec 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Dr. Khatchatur Sarafian, PHARM D
Title
President/RPH
Phone
(747) 254-3331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

21910 Ventura Blvd
Woodland Hills, CA 91364-1724

Mailing address

21910 Ventura Blvd
Woodland Hills, CA 91364-1724
Phone (747) 254-3331

Other identifiers 1

IdentifierTypeStateIssuer
PHY57873OtherCABOARD OF PHARMACY

Other names 1

  • OAKS COMMUNITY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

21910 Ventura Blvd
Woodland Hills, CA 91364
Phone (747) 254-3331

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": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1376201947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21910 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641724",
            "telephone_number": "747-254-3331",
            "fax_number": "747-254-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21910 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641724",
            "telephone_number": "747-254-3331",
            "fax_number": "747-254-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSGS RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "SARAFIAN",
        "authorized_official_first_name": "KHATCHATUR",
        "authorized_official_title_or_position": "PRESIDENT/RPH",
        "authorized_official_telephone_number": "747-254-3331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY57873",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAKS COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.