Remedy Drugs Broadway Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY53653 Issued in CA

Legal business name

REMEDY DRUGS BROADWAY INC

Practice address

459 W Broadway
Ste 4
Glendale, CA 91204-4120

Phone

(818) 548-6165

Fax

(818) 548-7095

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Araz Derhartounian

Title

President/Owner

Phone

(818) 548-6165

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• BROADWAY REMEDY PHARMACY Doing business as

Locations

Practitioners 1

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

• Aida Hagop Hovasapian, RPH

  • Pharmacist
  • Glendale, CA
  • NPI 1528326709
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1487716064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 W BROADWAY",
            "address_2": "STE 4",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044120",
            "telephone_number": "818-548-6165",
            "fax_number": "818-548-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 W BROADWAY",
            "address_2": "STE 4",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044120",
            "telephone_number": "818-548-6165",
            "fax_number": "818-548-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDY DRUGS BROADWAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "DERHARTOUNIAN",
        "authorized_official_first_name": "ARAZ",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "818-548-6165",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY53653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "PHY53653",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER",
            "identifier": "05-68420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137536",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487716064",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROADWAY REMEDY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BROADWAY REMEDY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Elizabeth Remedios, MD
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• Michelle Remy, DNP
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• James Anthony Rener
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• Community/Retail Pharmacy in Glendale, CA
• Providers in Glendale, 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 May 26, 2022; 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.