Methorda LTD

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

METHORDA LTD

Practice address

13237 Saticoy St Ste 4
North Hollywood, CA 91605-3435

Phone

(818) 317-6785

Fax

(818) 985-5005

NPI assigned

Sep 10, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Hratcha Bardakjian

Title

Director

Phone

(818) 985-5005

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TriCare Pharmacy Doing business as

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1649587742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13237 SATICOY ST STE 4",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13237 SATICOY ST STE 4",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053435",
            "telephone_number": "818-317-6785",
            "fax_number": "818-985-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHORDA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "BARDAKJIAN",
        "authorized_official_first_name": "HRATCHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-985-5005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA466160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TriCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.