Active NPI
Mask, Inc.
- Community/Retail Pharmacy
- Sylmar, CA
National Provider Identifier
1609964949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY43627
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Musumi Iwanaga, RPH.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1355431 | Medicaid | CA |
Other names 1
- Sylmar Professional Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Sylmar, CA
- NPI 1053308957
-
- Pharmacist
- Sylmar, CA
- NPI 1013291905
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.