Organization Active NPI

St Joseph Pharmacy Inc

  • Community/Retail Pharmacy
  • Burbank, CA
National Provider Identifier
1710108600
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY51921 Issued in CA
Legal business name
ST JOSEPH PHARMACY INC
Practice address
2519 W Burbank Blvd
Burbank, CA 91505-2302
Phone
(818) 736-5290
Fax
(818) 736-5276
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Mr. Minas Nordanyan
Title
President/Owner
Phone
(818) 736-5290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY51921 CA Primary

Addresses

Primary practice location

2519 W Burbank Blvd
Burbank, CA 91505-2302

Mailing address

2519 W Burbank Blvd
Burbank, CA 91505-2302
Phone (818) 736-5290

Other identifiers 2

IdentifierTypeStateIssuer
0519352OtherNCPDP
PHY51921OtherCABOARD OF PHARMACY PERMIT

Other names 1

  • ST JOSEPH PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Creative RX Pharmacy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1710108600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052302",
            "telephone_number": "818-736-5290",
            "fax_number": "818-736-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052302",
            "telephone_number": "818-736-5290",
            "fax_number": "818-736-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "NORDANYAN",
        "authorized_official_first_name": "MINAS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "818-736-5290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0519352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "PHY51921",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JOSEPH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.