RX Boutique Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RX BOUTIQUE PHARMACY INC

Practice address

18425 Burbank Blvd Ste 414
Tarzana, CA 91356-2810

Phone

(818) 514-6010

Fax

(818) 514-6140

NPI assigned

Jul 8, 2019

Last updated

Jun 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Armen Martirosyan

Title

Ceo

Phone

(818) 514-6010

Specialties & licenses 4

Addresses

Other identifiers 1

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 4

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.

• Edita Kyurkchyan

  • Pharmacist
  • Studio City, CA
  • NPI 1609708890
  NPD
• Gil Takao Kajiki, D.C.

  • Chiropractor
  • Tarzana, CA
  • NPI 1124037684
  NPD (past)
• Alison Deliman McCaughan, D.C.

  • Chiropractor
  • Los Angeles, CA
  • NPI 1740479542
  NPD (past)
• Christopher M Grose, DC

  • Chiropractor
  • Beckley, WV
  • NPI 1740348234
  NPD (past)

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1427610633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD STE 414",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562810",
            "telephone_number": "818-514-6010",
            "fax_number": "818-514-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD STE 414",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562810",
            "telephone_number": "818-514-6010",
            "fax_number": "818-514-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX BOUTIQUE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "MARTIROSYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-514-6010"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427610633",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latasha Nicole Russell
• Laura Grace Russell
• Terrance Russell, DV FACILITATOR
• Megan Sue Rust
• Parvine Sarah Rustamova, M.D.
• RX Diagnostic Management, Inc.
• RX Pharmaceutical, Inc (Tarzana Wellness Pharmacy)
• S & a Hospice and Palliative Care Inc
• S S Medical Associates Inc
• Joann M. Sabin, C.D.C.

• Community/Retail Pharmacy in Tarzana, CA
• Providers in Tarzana, 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 Jun 1, 2026; 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.