Organization Active NPI

Three Wise Men, Inc.

Doing business as Remedy Drugs

  • Pharmacy
  • Glendale, CA
National Provider Identifier
1598816571
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
THREE WISE MEN, INC.
Doing business as
Remedy Drugs
Practice address
1700 W. Glenoaks Blvd.
Unit E
Glendale, CA 91201
Phone
(818) 549-1010
Fax
(818) 549-0505
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Andranik Harutyunyan
Title
Ceo/Dir.
Phone
(818) 489-3653

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X PHY42129 CA

Addresses

Primary practice location

1700 W. Glenoaks Blvd.
Unit E
Glendale, CA 91201

Mailing address

1700 W. Glenoaks Blvd.
Unit E
Glendale, CA 91201
Phone (818) 549-1010

Other identifiers 2

IdentifierTypeStateIssuer
PHA421290MedicaidCA
2002533OtherPK

Other names 1

  • Remedy Drugs Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220606001196 CA Part B Supplier - Pharmacy 9436537321 Practice locations: Glendale, CA

National Provider Directory

National Provider Directory
Tax ID family
Glenco Med 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

1700 W Glenoaks Blvd
Ste A
Glendale, CA 91201
Phone (818) 549-1010

1700 W Glenoaks Blvd
Glendale, CA 91201
Phone (818) 507-0625

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1598816571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W. GLENOAKS BLVD.",
            "address_2": "UNIT E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91201",
            "telephone_number": "818-549-1010",
            "fax_number": "818-549-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W. GLENOAKS BLVD.",
            "address_2": "UNIT E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91201",
            "telephone_number": "818-549-1010",
            "fax_number": "818-549-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE WISE MEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "HARUTYUNYAN",
        "authorized_official_first_name": "ANDRANIK",
        "authorized_official_title_or_position": "CEO/DIR.",
        "authorized_official_telephone_number": "818-489-3653"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY42129",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA421290",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2002533",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Remedy Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 24, 2022; 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.