Organization Active NPI

Msa Pharmaceutical Services Corporation

Doing business as Amy's Pharmacy

  • Community/Retail Pharmacy
  • Arleta, CA
National Provider Identifier
1467972364
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY55662 Issued in CA
Legal business name
MSA PHARMACEUTICAL SERVICES CORPORATION
Doing business as
Amy's Pharmacy
Practice address
9720 Woodman Ave
Arleta, CA 91331
Phone
(818) 686-0777
Fax
(818) 686-0778
NPI assigned
Jun 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Amal L. FahmyNPI 1528342482
Title
President/Pic
Phone
(818) 686-0777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY55662 CA Primary

Addresses

Primary practice location

9720 Woodman Ave
Arleta, CA 91331

Mailing address

9720 Woodman Ave
Arleta, CA 91331-6422
Phone (818) 686-0777

Other names 1

  • AMY'S PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20180503000595 CA DME Supplier - Pharmacy 8426312257 Practice locations: Arleta, CA
O20201104001009 CA Part B Supplier - Pharmacy 8426312257 Practice locations: Arleta, CA
O20240108000867 CA Part B Supplier - Mass Immunization (Roster Biller Only) 8426312257 Practice locations: Arleta, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Amy's Pharmacy9720 Woodman Ave, Arleta, CA 91331-6422(818) 686-0777 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Nov 17, 2020

National Provider Directory

National Provider Directory

Locations

9720 Woodman Ave
Arleta, CA 91331
Phone (818) 686-0777

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467972364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 WOODMAN AVE",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316422",
            "telephone_number": "818-686-0777",
            "fax_number": "818-686-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 WOODMAN AVE",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "91331",
            "telephone_number": "818-686-0777",
            "fax_number": "818-686-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSA PHARMACEUTICAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FAHMY",
        "authorized_official_first_name": "AMAL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "818-686-0777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMY'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMY'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arleta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.