Carequest Pharmacy

Key facts

NPI

1487920542

Entity type

Organization (NPI type 2)

Primary specialty

Compounding Pharmacy 3336C0004X

License

PHY 50419 (CA)

Legal business name

CAREQUEST PHARMACY

Practice address

6901 Canby Ave Ste 108
Reseda, CA 91335-4391

Phone

(310) 849-9535

NPI assigned

Mar 22, 2012

Organization subpart

No

Authorized official

Name

Mr. Faramarz Ganjian, PHARMACIST

Title

President

Phone

(310) 849-9535

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 22, 2012.

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1487920542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 CANBY AVE STE 108",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354391",
            "telephone_number": "310-849-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 CANBY AVE STE 108",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354391",
            "telephone_number": "310-849-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREQUEST PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "GANJIAN",
        "authorized_official_first_name": "FARAMARZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-849-9535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHY 50419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Reseda, CA · Compounding Pharmacy in California