Active NPI
Daylight Pharmacy Inc
- Community/Retail Pharmacy
- Sherman Oaks, CA
National Provider Identifier
1407520224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- DAYLIGHT PHARMACY INC
- Practice address
- 14841 Burbank Blvd
Sherman Oaks, CA 91411-3339 - Phone
- (818) 600-0700
- Fax
- (818) 616-2700
- NPI assigned
- Aug 4, 2021
- 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
- Mary Sultanyan
- Title
- President/Ceo
- Phone
- (818) 600-0700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
14841 Burbank Blvd
Sherman Oaks, CA 91411-3339
Mailing address
14841 Burbank Blvd
Sherman Oaks, CA 91411-3339
Phone (818) 600-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY57896 | Other | CA | BOARD OF PHARMACY |
Other names 1
- DAYLIGHT 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 |
|---|---|---|---|---|
| O20220422000770 | CA | DME Supplier - Pharmacy | 0244627107 | Practice locations: Sherman Oaks, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Daylight Pharmacy | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
14841 Burbank Blvd
Van Nuys, CA 91411
Phone (818) 600-0700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628035200000",
"number": "1407520224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14841 BURBANK BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914113339",
"telephone_number": "818-600-0700",
"fax_number": "818-616-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14841 BURBANK BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914113339",
"telephone_number": "818-600-0700",
"fax_number": "818-616-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYLIGHT PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A",
"authorized_official_last_name": "SULTANYAN",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "818-600-0700"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"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",
"identifier": "PHY57896",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DAYLIGHT PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.