Pharmacy Care Network Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY46707 Issued in CA

Legal business name

PHARMACY CARE NETWORK INC

Doing business as

KANAN PHARMACY & MEDICAL SUPPLY
KANAN PHARMACY AND MEDICAL SUPPLY

Practice address

5847 Kanan Rd
Agoura Hills, CA 91301-1651

Phone

(818) 889-3070

Fax

(818) 889-9145

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Tony Cassar, PHARMD

Title

Ceo

Phone

(818) 889-3070

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• KANAN PHARMACY & MEDICAL SUPPLY Doing business as
• KANAN PHARMACY AND MEDICAL SUPPLY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1487705604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 KANAN RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011651",
            "telephone_number": "818-889-3070",
            "fax_number": "818-436-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 KANAN RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011651",
            "telephone_number": "818-889-3070",
            "fax_number": "818-889-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY CARE NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "CASSAR",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-889-3070",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1997335",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA467070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KANAN PHARMACY & MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KANAN PHARMACY AND MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Perales
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• James Calbraith Perry, DC
• Personalized Home Health Care Inc
• Michael Lino Felipe Peyton, MD
• Pharmacy Care Network, Inc
• PHP Recovery Center
• Physician Somni Group, LLC
• D.V. Pillai, M.D.
• Emily Louise Podrasky

• Community/Retail Pharmacy in Agoura Hills, CA
• Providers in Agoura Hills, 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 Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.