NPIMap

Organization Active NPI

Sortpak RX, Inc.

  • Mail Order Pharmacy
  • Glendale, CA
National Provider Identifier
1477169910
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
SORTPAK RX, INC.
Doing business as
SORTPAK PHARMACY
Practice address
655 N Central Ave FL 22
Glendale, CA 91203-1444
Phone
(877) 570-7787
Fax
(877) 475-2382
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Mr. Raymond Shirvanyan
Title
President/Ceo
Phone
(877) 570-7787

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

655 N Central Ave FL 22
Glendale, CA 91203-1444

Mailing address

655 N Central Ave FL 22
Glendale, CA 91203-1444
Phone (877) 570-7787

Other identifiers 1

IdentifierTypeStateIssuer
PHY59170OtherCABOARD OF PHARMACY

Other names 1

  • SORTPAK PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sortpak RX Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1477169910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 N CENTRAL AVE FL 22",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031444",
            "telephone_number": "877-570-7787",
            "fax_number": "877-475-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 N CENTRAL AVE FL 22",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031444",
            "telephone_number": "877-570-7787",
            "fax_number": "877-475-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORTPAK RX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "SHIRVANYAN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "877-570-7787",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY59170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SORTPAK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SORTPAK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.