Encino Medical Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY55951 Issued in CA

Legal business name

ENCINO MEDICAL PHARMACY INC

Doing business as

Encino Medical Pharmacy

Practice address

17479 Ventura Blvd
Encino, CA 91316-3828

Phone

(818) 514-4020

Fax

(818) 514-4025

NPI assigned

Jan 15, 2018

Last updated

Jan 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Babak Fatirian, PHARM DNPI 1811279615

Title

President/Pic

Phone

(818) 514-4020

Specialties & licenses 1

Addresses

Other names 1

• ENCINO MEDICAL PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

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.

• Babak Fatirian, PHARM-D

  • Pharmacist
  • Encino, CA
  • NPI 1811279615
  NPD Authorized official

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1538677398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17479 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163828",
            "telephone_number": "818-514-4020",
            "fax_number": "818-514-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17479 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163828",
            "telephone_number": "818-514-4020",
            "fax_number": "818-514-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINO MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "FATIRIAN",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "818-514-4020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENCINO MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Encino Home Inc
• Encino Hospice Care, Inc.
• Encino Hospital Radiology Medical Group Inc
• Encino Medical Center
• Encino Medical Group
• Encino Medical Urgent Care Inc.
• Encino Medical Wellness Center
• Encino Neurodiagnostic Center
• Encino Neurological Medical Group
• Encino Open MRI Inc

• Community/Retail Pharmacy in Encino, CA
• Providers in Encino, 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 Jan 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.