Petrosyan Enterprises, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PETROSYAN ENTERPRISES, INC.

Doing business as

SIMI VALLEY PHARMACY

Practice address

2428 Stearns St Ste B
Simi Valley, CA 93063-2418

Phone

(805) 422-8090

Fax

(805) 422-8141

NPI assigned

Jan 31, 2022

Organization subpart

No

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

Authorized official

Name

Haik Petrosyan

Title

Owner

Phone

(805) 422-8090

Specialties & licenses 1

Addresses

Other names 1

• SIMI VALLEY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1588317499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 STEARNS ST STE B",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632418",
            "telephone_number": "805-422-8090",
            "fax_number": "805-422-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 STEARNS ST STE B",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632418",
            "telephone_number": "805-422-8090",
            "fax_number": "805-422-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETROSYAN ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "HAIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-422-8090"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMI VALLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.