Active NPI
Apollo Pharmaceutical Services
- Long Term Care Pharmacy
- Van Nuys, CA
National Provider Identifier
1457930331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- APOLLO PHARMACEUTICAL SERVICES
- Practice address
- 16104 Hart St
Van Nuys, CA 91406-3903 - Phone
- (747) 264-0311
- Fax
- (747) 264-0134
- NPI assigned
- Apr 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna A Bogdanyan
- Title
- President/Ceo
- Phone
- (747) 264-0311
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
16104 Hart St
Van Nuys, CA 91406-3903
Mailing address
16104 Hart St
Van Nuys, CA 91406-3903
Phone (747) 264-0311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY58138 | Other | CA | BOARD OF PHARMACY |
Other names 1
- APOLLO PHARMACEUTICAL SERVICES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617667200000",
"number": "1457930331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16104 HART ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063903",
"telephone_number": "747-264-0311",
"fax_number": "747-264-0134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16104 HART ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063903",
"telephone_number": "747-264-0311",
"fax_number": "747-264-0134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APOLLO PHARMACEUTICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-06",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A",
"authorized_official_last_name": "BOGDANYAN",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "747-264-0311"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "PHY58138",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "APOLLO PHARMACEUTICAL SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.