Ultimate Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY 51497 Issued in CA

Legal business name

ULTIMATE PHARMACY INC

Doing business as

Ultimate Pharmacy

Practice address

16438 Vanowen St
Unit 201
Van Nuys, CA 91406-4759

Phone

(818) 849-3303

Fax

(818) 849-3304

NPI assigned

Sep 12, 2013

Last updated

Jun 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Irina Sadovsky, RPH

Title

President/Pic

Phone

(818) 849-3303

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• ULTIMATE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1376978916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16438 VANOWEN ST",
            "address_2": "UNIT 201",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064759",
            "telephone_number": "818-849-3303",
            "fax_number": "818-849-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16438 VANOWEN ST",
            "address_2": "UNIT 201",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064759",
            "telephone_number": "818-849-3303",
            "fax_number": "818-849-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "SADOVSKY",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "818-849-3303",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 51497",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY 51497",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "PHY 51497",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "PHY 51497",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "56-49112",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ULTIMATE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.