Active NPI
Center Drug Inc
- Community/Retail Pharmacy
- Encino, CA
National Provider Identifier
1700106960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY 50308
- Legal business name
- CENTER DRUG INC
- Practice address
- 16952 Ventura Blvd Ste 100
Encino, CA 91316-4193 - Phone
- (818) 380-0102
- Fax
- (818) 380-0164
- NPI assigned
- Jun 10, 2010
- 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
- Mrs. Afrooz Javanfard
- Title
- Vice President
- Phone
- (818) 380-0102
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY 50308 | CA | |
| Community/Retail Pharmacy | 3336C0003X | PHY 50308 | CA | Primary |
| Compounding Pharmacy | 3336C0004X | PHY 50308 | CA |
Addresses
Primary practice location
16952 Ventura Blvd Ste 100
Encino, CA 91316-4193
Mailing address
16952 Ventura Blvd Ste 100
Encino, CA 91316-4193
Phone (818) 380-0102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY 50308 | Other | CA | RETAIL PHARMACY PERMIT |
Other names 1
- CENTER DRUG PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276128000000",
"number": "1700106960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16952 VENTURA BLVD STE 100",
"city": "ENCINO",
"state": "CA",
"postal_code": "913164193",
"telephone_number": "818-380-0102",
"fax_number": "818-380-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16952 VENTURA BLVD STE 100",
"city": "ENCINO",
"state": "CA",
"postal_code": "913164193",
"telephone_number": "818-380-0102",
"fax_number": "818-380-0164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER DRUG INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-10",
"last_updated": "2010-06-10",
"status": "A",
"authorized_official_last_name": "JAVANFARD",
"authorized_official_first_name": "AFROOZ",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "818-380-0102",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY 50308",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY 50308",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "CA",
"license": "PHY 50308",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RETAIL PHARMACY PERMIT",
"identifier": "PHY 50308",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CENTER DRUG PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.