Organization Active NPI

I and G Pharmacy Inc.

  • Community/Retail Pharmacy
  • Glendale, CA
National Provider Identifier
1548339039
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Feb 5, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0537689OtherCANABP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930053214 CA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Orthotic Personnel 6709906746 Practice locations: Glendale, CA

National Provider Directory

National Provider Directory
Tax ID family
I and G Pharmacy Inc2 organizations share this tax ID, including this one

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.

Verify at the official NPI Registry.