Organization Active NPI

Sun Drug Pharma Inc

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1407941107
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Apr 19, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHY59330OtherCABOARD OF PHARMACY

Other names 1

  • SUN DRUG CO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210908000920 CA Part B Supplier - Mass Immunization (Roster Biller Only) 6608085683 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.