Organization Active NPI

Dr Ike Inc

  • Community/Retail Pharmacy
  • Studio City, CA
National Provider Identifier
1508184789
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50263 Issued in CA
Legal business name
DR IKE INC
Practice address
11736 Ventura Blvd
Studio City, CA 91604-2615
Phone
(818) 980-3311
Fax
(818) 980-3735
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Ayk DzhragatspanyanNPI 1356884811
Title
Pres/Pic
Phone
(818) 419-2514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50263 CA Primary

Addresses

Primary practice location

11736 Ventura Blvd
Studio City, CA 91604-2615

Mailing address

11736 Ventura Blvd
Studio City, CA 91604-2615
Phone (818) 980-3311

Other identifiers 1

IdentifierTypeStateIssuer
5637888OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Dr. Ike's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

11736 Ventura Blvd
Studio City, CA 91604
Phone (818) 980-3311

Practitioners & affiliated clinicians

Practitioners 1

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": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1508184789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11736 VENTURA BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042615",
            "telephone_number": "818-980-3311",
            "fax_number": "818-980-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11736 VENTURA BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042615",
            "telephone_number": "818-980-3311",
            "fax_number": "818-980-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR IKE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "DZHRAGATSPANYAN",
        "authorized_official_first_name": "AYK",
        "authorized_official_title_or_position": "PRES/PIC",
        "authorized_official_telephone_number": "818-419-2514"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5637888",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Ike's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.