Premier Care RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PREMIER CARE RX INC

Practice address

13703 Burbank Blvd
Van Nuys, CA 91401-5040

Phone

(818) 376-0333

Fax

(844) 272-1447

NPI assigned

Jul 28, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Anait Davtyan

Title

President/Tech

Phone

(818) 376-0333

Specialties & licenses 1

Addresses

Other names 1

• PREMIER CARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1487062998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13703 BURBANK BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914015040",
            "telephone_number": "818-376-0333",
            "fax_number": "844-272-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13703 BURBANK BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914015040",
            "telephone_number": "818-376-0333",
            "fax_number": "844-272-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "DAVTYAN",
        "authorized_official_first_name": "ANAIT",
        "authorized_official_title_or_position": "PRESIDENT/TECH",
        "authorized_official_telephone_number": "818-376-0333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Van Nuys, CA
• Providers in Van Nuys, 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 Dec 16, 2025; 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.