Kenneth Road Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHA50214 Issued in CA

Legal business name

KENNETH ROAD PHARMACY INC

Practice address

1400 Kenneth Rd.
Glendale, CA 91201-1422

Phone

(818) 242-4158

Fax

(818) 247-8593

NPI assigned

May 13, 2010

Organization subpart

No

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

Authorized official

Name

Margarita Kazarian, RPH

Title

President

Phone

(818) 242-4158

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1467770560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 KENNETH RD.",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011422",
            "telephone_number": "818-242-4158",
            "fax_number": "818-247-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 KENNETH RD.",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011422",
            "telephone_number": "818-242-4158",
            "fax_number": "818-247-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH ROAD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "KAZARIAN",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-242-4158",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHA50214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sogomon Keleshyan
• Makenzie Kelley
• Trisha Kelley, MD
• Kristin Nicole Kellim, M.P.T.
• Rophine Moriah Kenfack, DAOM
• Kent Candelora, PHD, a Psychological Corporation
• Kent W Small, MD a Medical Corporation
• Julie Dawn Kenworth-Caragio, LMFT
• Maral Keosseian
• Freda Kerikorian

• Pharmacy in Glendale, CA
• Providers in Glendale, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.