Magnolia Pharmaceutical Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MAGNOLIA PHARMACEUTICAL CORP

Doing business as

Magnolia Pharmacy

Practice address

2211 W Magnolia Blvd
115
Burbank, CA 91506-1753

Phone

(818) 238-0100

Fax

(818) 238-0115

NPI assigned

Mar 7, 2008

Last updated

Nov 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kambiz Ahadimoghaddam

Title

Ceo/Pic

Phone

(818) 238-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MAGNOLIA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kambiz Ahadi, PHARMACIST

  • Pharmacist
  • Burbank, CA
  • NPI 1629676572
  NPD
• Shahrzad Ziaeian

  • Pharmacist
  • Burbank, CA
  • NPI 1740888767
  NPD
• Taraneh Ziaeian

  • Pharmacist
  • Woodland Hills, CA
  • NPI 1619574381
  NPD
• Zaven Edwin Krkasharian

  • Pharmacist
  • Glendale, CA
  • NPI 1508054925
  NPD (past)

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1669642468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 W MAGNOLIA BLVD",
            "address_2": "115",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061753",
            "telephone_number": "818-238-0100",
            "fax_number": "818-238-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 W MAGNOLIA BLVD",
            "address_2": "115",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061753",
            "telephone_number": "818-238-0100",
            "fax_number": "818-238-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA PHARMACEUTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "AHADIMOGHADDAM",
        "authorized_official_first_name": "KAMBIZ",
        "authorized_official_title_or_position": "CEO/PIC",
        "authorized_official_telephone_number": "818-238-0100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2113302",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAGNOLIA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Magnolia Diagnostic Inc
• Magnolia Home Health Care Services, Inc
• Magnolia Hospice Care, Inc.
• Magnolia Medical Supply Inc
• Magnolia Neurodiagnostic Inc
• David Maguire
• Terry A Mah, PHARM.D.
• Mahaba Wellness Center, Inc.
• Maharlika Healthcare Services, Inc. (Ambiance Home Health)
• Helena Sarah Mahsaradjian, PHARMD

• Community/Retail Pharmacy in Burbank, CA
• Providers in Burbank, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.