Sunland Pharmacy Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY54345 Issued in CA

Legal business name

SUNLAND PHARMACY INCORPORATED

Practice address

8422 Sunland Blvd
Sun Valley, CA 91352-3436

Phone

(818) 962-3851

Fax

(818) 962-3850

NPI assigned

May 6, 2016

Organization subpart

No

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

Authorized official

Name

Lusine Sargsyan, PHARM D

Title

Owner/Ceo/Pic

Phone

(818) 962-3851

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Sunland Pharmacy Incorporated Doing business as

Locations

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1467808683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8422 SUNLAND BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913523436",
            "telephone_number": "818-962-3851",
            "fax_number": "818-962-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8422 SUNLAND BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913523436",
            "telephone_number": "818-962-3851",
            "fax_number": "818-962-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLAND PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "SARGSYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "OWNER/CEO/PIC",
        "authorized_official_telephone_number": "818-962-3851",
        "authorized_official_credential": "PHARM D"
    },
    "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": "PHY54345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160401",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467808683",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunland Pharmacy Incorporated",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunland Pharmacy Incorporated",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kristina Tanglimsamarnsuk

• Community/Retail Pharmacy in Sun Valley, CA
• Providers in Sun Valley, 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 Apr 12, 2022; 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.