Organization Active NPI

Superior Pharmacy Inc

  • Community/Retail Pharmacy
  • North Hollywood, CA
National Provider Identifier
1437227675
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY48287 Issued in CA
Legal business name
SUPERIOR PHARMACY INC
Practice address
11755 Victory Blvd
Ste 100a
North Hollywood, CA 91606-3423
Phone
(818) 980-9888
Fax
(818) 980-9881
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Margarita Khlghatyan
Title
Sec
Phone
(818) 640-3237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY48287 CA Primary

Addresses

Primary practice location

11755 Victory Blvd
Ste 100a
North Hollywood, CA 91606-3423

Mailing address

11755 Victory Blvd
Ste 100a
North Hollywood, CA 91606-3423
Phone (818) 980-9888

Other identifiers 2

IdentifierTypeStateIssuer
2111826OtherPK
5656140MedicaidCA

Other names 1

  • SUPERIOR PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

11755 Victory Blvd
Ste 100A
North Hollywood, CA 91606
Phone (747) 200-5676

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1437227675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD",
            "address_2": "STE 100A",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063423",
            "telephone_number": "818-980-9888",
            "fax_number": "818-980-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD",
            "address_2": "STE 100A",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063423",
            "telephone_number": "818-980-9888",
            "fax_number": "818-980-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "KHLGHATYAN",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "SEC",
        "authorized_official_telephone_number": "818-640-3237"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111826",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5656140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPERIOR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.