Organization Active NPI

Pharmacy Partners Inc

  • Community/Retail Pharmacy
  • Montrose, CA
National Provider Identifier
1407252166
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY52050 Issued in CA
Legal business name
PHARMACY PARTNERS INC
Doing business as
UNI-MED PHARMACY
Practice address
2490 Honolulu Ave
Suite 110
Montrose, CA 91020-1800
Phone
(818) 330-7031
Fax
(818) 330-9526
NPI assigned
Nov 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Dr. Edwin Shakhmalian, PHARM DNPI 1831535327
Title
President
Phone
(818) 330-7031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY52050 CA Primary

Addresses

Primary practice location

2490 Honolulu Ave
Suite 110
Montrose, CA 91020-1800

Mailing address

2490 Honolulu Ave
Suite 110
Montrose, CA 91020-1800
Phone (818) 330-7031

Other identifiers 1

IdentifierTypeStateIssuer
1407252166MedicaidCA

Other names 1

  • UNI-MED PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220224002688 CA Part B Supplier - Mass Immunization (Roster Biller Only) 3971841156 Practice locations: Montrose, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1407252166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 HONOLULU AVE",
            "address_2": "SUITE 110",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201800",
            "telephone_number": "818-330-7031",
            "fax_number": "818-330-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 HONOLULU AVE",
            "address_2": "SUITE 110",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201800",
            "telephone_number": "818-330-7031",
            "fax_number": "818-330-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "SHAKHMALIAN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-330-7031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY52050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407252166",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNI-MED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNI-MED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montrose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.