Organization Active NPI

North Oaks Discount Pharmacy Inc

Doing business as North Oaks Pharmacy

  • Community/Retail Pharmacy
  • Thousand Oaks, CA
National Provider Identifier
1497291223
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NORTH OAKS DISCOUNT PHARMACY INC
Doing business as
North Oaks Pharmacy
Practice address
1014 E Avenida de Los Arboles
Thousand Oaks, CA 91360-4709
Phone
(805) 241-0935
Fax
(805) 241-0936
NPI assigned
Jan 18, 2017
Last updated
Feb 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Mr. Benham Shavalian, RPH
Title
President/Pic
Phone
(805) 241-0935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X CA Primary

Addresses

Primary practice location

1014 E Avenida de Los Arboles
Thousand Oaks, CA 91360-4709

Mailing address

1014 E Avenida de Los Arboles
Thousand Oaks, CA 91360-4709
Phone (805) 241-0935

Other identifiers 1

IdentifierTypeStateIssuer
1497291223MedicaidCA

Other names 1

  • NORTH OAKS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170817003950 CA Part B Supplier - Mass Immunization (Roster Biller Only) 9234401746 Practice locations: Thousand Oaks, CA

National Provider Directory

National Provider Directory

Locations

1014 E Avenida de los Arboles
Thousand Oaks, CA 91360
Phone (805) 241-0935

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1497291223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 E AVENIDA DE LOS ARBOLES",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604709",
            "telephone_number": "805-241-0935",
            "fax_number": "805-241-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 E AVENIDA DE LOS ARBOLES",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604709",
            "telephone_number": "805-241-0935",
            "fax_number": "805-241-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OAKS DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "SHAVALIAN",
        "authorized_official_first_name": "BENHAM",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "805-241-0935",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497291223",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH OAKS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTH OAKS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.