Active NPI
Elite Clinical Care Pharmacy Inc
Doing business as Elite Clinical Care Pharmacy
- Community/Retail Pharmacy
- North Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ELITE CLINICAL CARE PHARMACY INC
- Doing business as
- Elite Clinical Care Pharmacy
- Practice address
- 9103 Sepulveda Blvd
North Hills, CA 91343-3920 - Phone
- (818) 724-8111
- Fax
- (818) 875-2057
- NPI assigned
- Mar 18, 2020
- Last updated
- Mar 18, 2020
- 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
- Mrs. Christine A Gabrielian, PHARM D
- Title
- President/Pic
- Phone
- (818) 724-8111
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 | Primary |
Addresses
Primary practice location
9103 Sepulveda Blvd
North Hills, CA 91343-3920
Mailing address
9103 Sepulveda Blvd
North Hills, CA 91343-3920
Phone (818) 724-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57477 | Other | CA | BOARD OF PHARMACY PERMIT |
Other names 1
- ELITE CLINICAL CARE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200924002136 | CA | DME Supplier - Pharmacy | 8527487552 | Practice locations: North Hills, CA |
| O20201222002966 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8527487552 | Practice locations: North Hills, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Elite Clinical Care Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Elite Cliical Care Pharmacy
- Long Term Care Pharmacy
- North Hills, CA
- NPI 1326880741
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Elite Cliical Care Pharmacy
- Long Term Care Pharmacy
- North Hills, CA
- NPI 1326880741
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Van Nuys, CA
- NPI 1033423256
-
- Pharmacist
- North Hills, CA
- NPI 1548131048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584489600000",
"number": "1407482730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9103 SEPULVEDA BLVD",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913433920",
"telephone_number": "818-724-8111",
"fax_number": "818-875-2057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9103 SEPULVEDA BLVD",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913433920",
"telephone_number": "818-724-8111",
"fax_number": "818-875-2057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE CLINICAL CARE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-18",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A",
"authorized_official_last_name": "GABRIELIAN",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT/PIC",
"authorized_official_telephone_number": "818-724-8111",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY PERMIT",
"identifier": "57477",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ELITE CLINICAL CARE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.