Organization Active NPI

Vermont Pharmacy & Medical Supplies Inc

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1407921083
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY48275 Issued in CA
Legal business name
VERMONT PHARMACY & MEDICAL SUPPLIES INC
Practice address
1012 N Vermont Ave
Los Angeles, CA 90029-2620
Phone
(323) 665-4465
Fax
(323) 665-7365
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Mr. Armen Grigorian
Title
President/ Owner
Phone
(323) 665-4465

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY48275 CA Primary

Addresses

Primary practice location

1012 N Vermont Ave
Los Angeles, CA 90029-2620

Mailing address

1012 N Vermont Ave
Los Angeles, CA 90029-2620
Phone (323) 665-4465

Other identifiers 1

IdentifierTypeStateIssuer
0513538OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • VERMONT PHARMACY & MEDICAL SUPPLIES Doing business as

National Provider Directory

National Provider Directory

Locations

1012 N Vermont Ave
Los Angeles, CA 90029
Phone (323) 665-4465

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1407921083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292620",
            "telephone_number": "323-665-4465",
            "fax_number": "323-665-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292620",
            "telephone_number": "323-665-4465",
            "fax_number": "323-665-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT PHARMACY & MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "GRIGORIAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "323-665-4465",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0513538",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VERMONT PHARMACY & MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.