Country Oaks Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

COUNTRY OAKS INC

Doing business as

Country Oaks Pharmacy

Practice address

3900 E Thousand Oaks Blvd Ste 102
Thousand Oaks, CA 91362-3654

Phone

(818) 991-1901

Fax

(818) 991-1903

NPI assigned

Aug 31, 2023

Organization subpart

No

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

Authorized official

Name

Harout Gasparian

Title

Ceo

Phone

(805) 930-0702

Specialties & licenses 2

Addresses

Other names 1

• Country Oaks Pharmacy 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": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1528843034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 E THOUSAND OAKS BLVD STE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913623654",
            "telephone_number": "805-930-0702",
            "fax_number": "805-920-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 E THOUSAND OAKS BLVD STE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913623654",
            "telephone_number": "818-991-1901",
            "fax_number": "818-991-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY OAKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "GASPARIAN",
        "authorized_official_first_name": "HAROUT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-930-0702"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Oaks Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Costanzo, M.D.
• Amanda Lynn Cotner, FNP-C
• Patrick Cotter, MA, MPT, DPT
• Madeline Cotto, MD
• Couch Dental Corp.
• County of Ventura (Conejo Valley Family Medical Group FQHC)
• County of Ventura (VCBH - Conejo Valley Adult Mental Health)
• County of Ventura (VCBH - Thousand Oaks Substance Use Services)
• County of Ventura (VCBH - Conejo Valley Youth & Family Mental Health)
• Eddie Laron Courtney

• Pharmacy in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.