Active NPI
Sun Drug Pharma Inc
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1407941107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SUN DRUG PHARMA INC
- Practice address
- 3200 Los Feliz Blvd
Los Angeles, CA 90039-1509 - Phone
- (323) 663-8017
- Fax
- (323) 663-0770
- NPI assigned
- Oct 4, 2006
- 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
- Ani Ghaplanyan
- Title
- President/Ceo
- Phone
- (323) 663-8017
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3200 Los Feliz Blvd
Los Angeles, CA 90039-1509
Mailing address
3200 Los Feliz Blvd
Los Angeles, CA 90039-1509
Phone (323) 663-8017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY59330 | Other | CA | BOARD OF PHARMACY |
Other names 1
- SUN DRUG CO
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210908000920 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 6608085683 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider DirectoryLocations
1803 Hillhurst Ave
Los Angeles, CA 90027
Phone (323) 663-8017
3200 Los Feliz Blvd
Los Angeles, CA 90039
Phone (323) 522-3795
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Los Angeles, CA
- NPI 1093204034
-
- Pharmacist
- Los Angeles, CA
- NPI 1447345103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713484800000",
"number": "1407941107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 LOS FELIZ BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900391509",
"telephone_number": "323-663-8017",
"fax_number": "323-663-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 LOS FELIZ BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900391509",
"telephone_number": "323-663-8017",
"fax_number": "323-663-0770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUN DRUG PHARMA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A",
"authorized_official_last_name": "GHAPLANYAN",
"authorized_official_first_name": "ANI",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "323-663-8017"
},
"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": "PHY59330",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SUN DRUG CO",
"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 Apr 19, 2024; 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.