Organization Active NPI

KGSS Inc

Doing business as Camarillo Community Pharmacy

  • Long Term Care Pharmacy
  • Camarillo, CA
National Provider Identifier
1487405676
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KGSS INC
Doing business as
Camarillo Community Pharmacy
Practice address
424 Arneill Rd Ste D
Camarillo, CA 93010-6433
Phone
(805) 383-8340
Fax
(805) 383-8343
NPI assigned
Mar 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Khatchatur Sarafian, PHARM.D.
Title
President
Phone
(818) 309-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

424 Arneill Rd Ste D
Camarillo, CA 93010-6433

Mailing address

424 Arneill Rd Ste D
Camarillo, CA 93010-6433

Other names 1

  • CAMARILLO COMMUNITY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Camarillo Community Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

424 Arneill Rd
Ste D
Camarillo, CA 93010
Phone (805) 383-8340

Practitioners & affiliated clinicians

Practitioners 2

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": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1487405676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 ARNEILL RD STE D",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 ARNEILL RD STE D",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106433",
            "telephone_number": "805-383-8340",
            "fax_number": "805-383-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KGSS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "SARAFIAN",
        "authorized_official_first_name": "KHATCHATUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-309-2233",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAMARILLO COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.