Supreme Care Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 53878 Issued in CA

Legal business name

SUPREME CARE PHARMACY, INC.

Doing business as

SUPREME CARE PHARMACY

Practice address

6007 Lankershim Blvd
#7
North Hollywood, CA 91606-4883

Phone

(818) 763-7007

Fax

(818) 763-7006

NPI assigned

Dec 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Gevorg Grigoryan

Title

President/Owner

Phone

(818) 763-7007

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• SUPREME CARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lusine Amiryan, PHARMD

  • Pharmacist
  • North Hollywood, CA
  • NPI 1689386138
  NPD (past)
• Arman Petrosyan

  • Pharmacist
  • North Hollywood, CA
  • NPI 1598375180
  NPD (past)
• Siamak Tehrani

  • Pharmacist
  • North Hollywood, CA
  • NPI 1164942769
  NPD (past)

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1417322736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 LANKERSHIM BLVD",
            "address_2": "#7",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064883",
            "telephone_number": "818-763-7007",
            "fax_number": "818-763-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 LANKERSHIM BLVD",
            "address_2": "#7",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064883",
            "telephone_number": "818-763-7007",
            "fax_number": "818-763-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME CARE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "GEVORG",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "818-763-7007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 53878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALLFORNIA STATE BOARD OF PHARMACY",
            "identifier": "PHY53878",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417322736",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER",
            "identifier": "56-58096",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPREME CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUPREME CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Superior Home Health Care
• Superior Medical Transportation Inc
• Superior Pharmacy Inc
• Superior Pharmacy Inc
• Supreme Care Home Health, Inc.
• Batul T Suterwala, M.D.
• Sweet Home Health Care Services, Inc.
• Sweet Life Home Health Care
• Linda Marie Sweet, C.N., C.M.T
• Allison Swerdlin

• Community/Retail Pharmacy in North Hollywood, CA
• Providers in North Hollywood, 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 Nov 4, 2025; 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.