Pharmacy Homecare Network

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY40753 Issued in CA

Legal business name

PHARMACY HOMECARE NETWORK

Practice address

12454 Oxnard St
North Hollywood, CA 91606-4510

Phone

(818) 755-9081

Fax

(818) 755-9301

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Ella Pildervaser

Title

Ceo

Phone

(818) 755-9081

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pharmacy Homecare Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pharmacy Homecare Network

  • Long Term Care Pharmacy
  • North Hollywood, CA
  • NPI 1447279435
  NPD tax ID

Locations

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396747614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12454 OXNARD ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064510",
            "telephone_number": "818-755-9081",
            "fax_number": "818-755-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12454 OXNARD ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064510",
            "telephone_number": "818-755-9081",
            "fax_number": "818-755-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY HOMECARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PILDERVASER",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-755-9081"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY40753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA407530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Urszula Perzanowska, LVN/LPN
• Peter Swerdlick, M.D. Inc.
• Arman Petrosyan
• Elda Petrosyan, FNP
• Nare Petrosyan
• Pharmacy Homecare Network
• Pharmedquest Pharmacy Services (Avita Pharmacy 1008)
• Devohn Paris Phillips
• Tiana Phillips
• Cara E Piazza, LVN

• Pharmacy in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.