Maxi-Med Pharmacy, Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MAXI-MED PHARMACY, INC

Doing business as

Prime Health Pharma

Practice address

11177 Tampa Ave Ste B
Porter Ranch, CA 91326-2254

Phone

(818) 350-3998

NPI assigned

May 17, 2021

Last updated

Nov 1, 2023By 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

Mr. Wolf Schramm

Title

Officer

Phone

(818) 350-3998

Specialties & licenses 3

Addresses

Other names 1

• Prime Health Pharma Doing business as

Locations

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1437723137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11177 TAMPA AVE STE B",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262254",
            "telephone_number": "818-350-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11177 TAMPA AVE STE B",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262254",
            "telephone_number": "818-350-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXI-MED PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "SCHRAMM",
        "authorized_official_first_name": "WOLF",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "818-350-3998",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Health Pharma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip Marks, FNP-C
• Renee Marquedant
• Shogik Martirosyan, M.S, BCBA
• Aurielle Mason, PSY.D.
• Sohad Massalha, SLP
• Vennela Reddy McComb, MD
• Valerie McGinley
• Levon Mesropyan, M.D.
• Metro Moarch, Inc.
• Nicole Militello, M.D.

• Long Term Care Pharmacy in Porter Ranch, CA
• Providers in Porter Ranch, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.