Active NPI
Pharmacy Partners Inc
- Community/Retail Pharmacy
- Montrose, CA
National Provider Identifier
1407252166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY52050
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edwin Shakhmalian, PHARM D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407252166 | Medicaid | CA |
Other names 1
- UNI-MED PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220224002688 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 3971841156 | Practice locations: Montrose, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Glendale, CA
- NPI 1831535327
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.