NPIMap

Organization Active NPI

Harvard Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Glendale, CA
National Provider Identifier
1659602050
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 50203 Issued in CA
Legal business name
HARVARD FAMILY PHARMACY INC
Practice address
145 S Glendale Ave
Glendale, CA 91205-1108
Phone
(818) 662-0700
Fax
(818) 662-0701
NPI assigned
Jan 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Mrs. Evelina Mkhitarian, RPHNPI 1629290341
Title
President/Pharmacist
Phone
(818) 662-0700

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 PHY 50203 CA Primary

Addresses

Primary practice location

145 S Glendale Ave
Glendale, CA 91205-1108

Mailing address

145 S Glendale Ave
Glendale, CA 91205-1108
Phone (818) 662-0700

Other identifiers 1

IdentifierTypeStateIssuer
PHY50203OtherCASTATE BOARD OF PHARMACY

Other names 1

  • HARVARD FAMILY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Harvard Family Pharmacy 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

145 S Glendale Ave
Glendale, CA 91205
Phone (818) 662-0700

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1659602050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051108",
            "telephone_number": "818-662-0700",
            "fax_number": "818-662-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051108",
            "telephone_number": "818-662-0700",
            "fax_number": "818-662-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "MKHITARIAN",
        "authorized_official_first_name": "EVELINA",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "818-662-0700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 50203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "PHY50203",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARVARD FAMILY PHARMACY",
            "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 Jan 25, 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.