Organization Active NPI

Burbank Village Compounding Pharmacy Inc

  • Long Term Care Pharmacy
  • Burbank, CA
National Provider Identifier
1568223170
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BURBANK VILLAGE COMPOUNDING PHARMACY INC
Practice address
337 E Magnolia Blvd
Burbank, CA 91502-1132
Phone
(818) 260-0062
Fax
(818) 260-0089
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Dr. Rafi Khobiarian, PHARMDNPI 1912227638
Title
Pic, President
Phone
(818) 260-0062

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

337 E Magnolia Blvd
Burbank, CA 91502-1132

Mailing address

337 E Magnolia Blvd
Burbank, CA 91502-1132
Phone (818) 260-0062

Other names 1

  • Burbank Village Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Burbank Village Compounding 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

337 E Magnolia Blvd
Burbank, CA 91502
Phone (818) 260-0062

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": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1568223170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 E MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021132",
            "telephone_number": "818-260-0062",
            "fax_number": "818-260-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 E MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021132",
            "telephone_number": "818-260-0062",
            "fax_number": "818-260-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURBANK VILLAGE COMPOUNDING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "KHOBIARIAN",
        "authorized_official_first_name": "RAFI",
        "authorized_official_title_or_position": "PIC, PRESIDENT",
        "authorized_official_telephone_number": "818-260-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burbank Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.