NPIMap

Organization Active NPI

Sirmid, Inc

  • Community/Retail Pharmacy
  • Valley Village, CA
National Provider Identifier
1558358465
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SIRMID, INC
Doing business as
key pharmacy
Practice address
12660 Riverside Dr
Suite 100
Valley Village, CA 91607-3429
Phone
(818) 509-3630
Fax
(818) 509-3628
NPI assigned
Oct 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Siranush MiduryanNPI 1184357717
Title
Owner
Phone
(818) 509-3630

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

12660 Riverside Dr
Suite 100
Valley Village, CA 91607-3429

Mailing address

12660 Riverside Dr
Suite 100
Valley Village, CA 91607-3429
Phone (818) 509-3630

Other names 1

  • key pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Key Pharmacy2 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.

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": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1558358465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12660 RIVERSIDE DR",
            "address_2": "SUITE 100",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073429",
            "telephone_number": "818-509-3630",
            "fax_number": "818-509-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12660 RIVERSIDE DR",
            "address_2": "SUITE 100",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073429",
            "telephone_number": "818-509-3630",
            "fax_number": "818-509-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRMID, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "MIDURYAN",
        "authorized_official_first_name": "SIRANUSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-509-3630"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "key pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "key pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.