Mizbes Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY41379 Issued in CA

Legal business name

MIZBES INC

Practice address

22277 Mulholland Hwy
Calabasas, CA 91302-5156

Phone

(818) 223-8656

Fax

(818) 223-8750

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Brenda Sue Johnson, RPH

Title

Owner

Phone

(818) 233-8656

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CALABASAS PHARMACY AND HEALTHCARE CENTER 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.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Brenda Sue Johnson, RPH

  • Pharmacist
  • Calabasas, CA
  • NPI 1922095959
  NPD
• Janet Korotki

  • Pharmacist
  • Calabasas, CA
  • NPI 1720756471
  NPD (past)
• Mona Ligvani, PHARM.D.

  • Pharmacist
  • Calabasas, CA
  • NPI 1336686559
  NPD (past)
• Daria Lukonina, PHARM.D.

  • Pharmacist
  • Calabasas, CA
  • NPI 1851867196
  NPD (past)
• Lee Ronald Shapiro, RPH

  • Pharmacist
  • Calabasas, CA
  • NPI 1962570911
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1457348492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22277 MULHOLLAND HWY",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025156",
            "telephone_number": "818-223-8656",
            "fax_number": "818-223-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22277 MULHOLLAND HWY",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025156",
            "telephone_number": "818-223-8656",
            "fax_number": "818-223-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIZBES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRENDA SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-233-8656",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY41379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1998086",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA413790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALABASAS PHARMACY AND HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nina Mirzakhanyan, FNP-C
• Alexei I Mizin, DMD
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• Tiana Mondaca, PSY.D.
• Susan Mondragon, RN
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• Community/Retail Pharmacy in Calabasas, CA
• Providers in Calabasas, 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 Mar 26, 2014; 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.