Orglife Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ORGLIFE PHARMACY INC

Doing business as

Glendale RX Pharmacy

Practice address

1030 S Glendale Ave
#101 & #102
Glendale, CA 91205-5612

Phone

(818) 500-0411

Fax

(818) 500-7353

NPI assigned

Jan 11, 2008

Organization subpart

No

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

Authorized official

Name

David Shalts

Title

Pic/Ceo

Phone

(818) 500-0411

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• GLENDALE RX PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Enrollment records 3

These 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

Tax ID family

Orglife Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Burns Prescription Pharmacy Inc

  dba Burns Prescription Pharmacy

  • Community/Retail Pharmacy
  • Lancaster, CA
  • NPI 1558376160
  NPD tax ID
• Orgliferx Inc

  dba Orglife Pharmacy

  • Community/Retail Pharmacy
  • Studio City, CA
  • NPI 1306211420
  NPD tax ID

Locations

Practitioners 1

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.

• Anabel Ebrahimi, PHARM.D.

  • Pharmacist
  • Glendale, CA
  • NPI 1831703503
  NPD

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1417133273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE",
            "address_2": "#101 & #102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055612",
            "telephone_number": "818-500-0411",
            "fax_number": "818-500-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE",
            "address_2": "#101 & #102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055612",
            "telephone_number": "818-500-0411",
            "fax_number": "818-500-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORGLIFE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "SHALTS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PIC/CEO",
        "authorized_official_telephone_number": "818-500-0411"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5629083",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY RETAIL PERMIT",
            "identifier": "PHY55726",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLENDALE RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eileen Ordoukhanian
• Ani Ordubekyan
• Doris Orellana Martinez
• Sarai Orellana
• Kaely Marie Orenski
• Orion Health Plan
• Sarah Oriza
• Elliott Andre Orloff
• Oro Home Health Care Inc
• Cecilia Oropeza Palacios Ramirez

• Community/Retail Pharmacy in Glendale, CA
• Providers in Glendale, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.

Verify at the official NPI Registry.