Organization Active NPI

Mask, Inc.

  • Community/Retail Pharmacy
  • Sylmar, CA
National Provider Identifier
1609964949
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY43627 Issued in CA
Legal business name
MASK, INC.
Practice address
12737 Glenoaks Blvd Ste 27
Sylmar, CA 91342-4777
Phone
(818) 362-6894
Fax
(818) 362-6896
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Musumi Iwanaga, RPH.NPI 1053308957
Title
Pharm. D./ President
Phone
(818) 362-6894

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
Community/Retail Pharmacy 3336C0003X PHY43627 CA Primary

Addresses

Primary practice location

12737 Glenoaks Blvd Ste 27
Sylmar, CA 91342-4777

Mailing address

12737 Glenoaks Blvd
Sylmar, CA 91342-4704
Phone (818) 362-6894

Other identifiers 1

IdentifierTypeStateIssuer
1355431MedicaidCA

Other names 1

  • Sylmar Professional Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

12737 Glenoaks Blvd
Sylmar, CA 91342

12737 Glenoaks Blvd
Ste 27
Sylmar, CA 91342
Phone (805) 217-2261

Practitioners & affiliated clinicians

Practitioners 2

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1609964949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12737 GLENOAKS BLVD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424704",
            "telephone_number": "818-362-6894",
            "fax_number": "818-362-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12737 GLENOAKS BLVD STE 27",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424777",
            "telephone_number": "818-362-6894",
            "fax_number": "818-362-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "IWANAGA",
        "authorized_official_first_name": "MUSUMI",
        "authorized_official_title_or_position": "PHARM. D./ PRESIDENT",
        "authorized_official_telephone_number": "818-362-6894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY43627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1355431",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sylmar Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylmar, CA

Sources for this page

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