Active NPI
St Joseph Pharmacy Inc
- Community/Retail Pharmacy
- Burbank, CA
National Provider Identifier
1710108600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY51921
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0519352 | Other | NCPDP | |
| PHY51921 | Other | CA | BOARD OF PHARMACY PERMIT |
Other names 1
- ST JOSEPH PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Creative RX Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Burbank, CA
- NPI 1184124984
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
- SPRK Psychological Services Incorporated
- St Catherine Hospice Care Inc
- St Dylan Hospice Inc
- St Joseph Home Health Care, Inc.
- St Joseph Medical of Burbank, Inc.
- St. Joseph Health System Home Care Services LLC
- St. Joseph Hospitalist Medical Group, Inc.
- St. Joseph Intensivist Group, Inc.
- St. Joseph Pharmacy, Inc.
- St. Joseph Pulmonary Diagnostic Medical Group
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.