Irdgas

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

PHY406210 Issued in CA

Legal business name

IRDGAS

Practice address

9375 San Fernando Rd
Sun Valley, CA 91352-1418

Phone

(818) 768-3322

Fax

(818) 504-0418

NPI assigned

Jan 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Dennis Manzani, PHARM. D.

Title

President

Phone

(818) 768-3322

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• serra medical pharmacy Doing business as

Locations

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1578748877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 SAN FERNANDO RD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521418",
            "telephone_number": "818-768-3322",
            "fax_number": "818-504-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 SAN FERNANDO RD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521418",
            "telephone_number": "818-768-3322",
            "fax_number": "818-504-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRDGAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "MANZANI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-768-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "CA",
            "license": "PHY406210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA406210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "serra medical pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hopeful Hospice Care
• House of Faith Congregate Living Inc
• Karen Hovagimyan, PHARM.D.
• Indendent Collections Group, Inc.
• Integrity
• Alex Islas
• Shabnam Jacobson, D.D.S.
• Carlos Jimenez, M.D
• Monica Alicia Jimenez, BA SOCIOLOGY
• Jonae Mae Johnson, RADT

• Clinic Pharmacy in Sun Valley, CA
• Providers in Sun Valley, CA by specialty
• Clinic Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.