Active NPI
I and G Pharmacy Inc.
- Community/Retail Pharmacy
- Glendale, CA
National Provider Identifier
1548339039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- I AND G PHARMACY INC.
- Practice address
- 815 E Colorado St Ste a
Glendale, CA 91205-1293 - Phone
- (818) 500-1399
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lusine Ishtoyan
- Title
- Owner
- Phone
- (818) 500-0895
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
815 E Colorado St Ste a
Glendale, CA 91205-1293
Mailing address
815 E Colorado St Ste a
Glendale, CA 91205-1293
Phone (818) 500-1399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0537689 | Other | CA | NABP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930053214 | CA | DME Supplier - Pharmacy | 6709906746 | Practice locations: Glendale, CA |
National Provider Directory
National Provider Directory- Tax ID family
- I and G Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
815 E Colorado St
Ste A
Glendale, CA 91205
Phone (818) 500-0895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738713600000",
"number": "1548339039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 E COLORADO ST STE A",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051293",
"telephone_number": "818-500-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 E COLORADO ST STE A",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051293",
"telephone_number": "818-500-1399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I AND G PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A",
"authorized_official_last_name": "ISHTOYAN",
"authorized_official_first_name": "LUSINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-500-0895",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "0537689",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.