Plaza Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY49090 Issued in CA

Legal business name

PLAZA PHARMACY INC

Doing business as

Plaza Pharmacy

Practice address

16952 Ventura Blvd
Ste 100
Encino, CA 91316-4197

Phone

(818) 380-0102

Fax

(818) 380-0164

NPI assigned

May 21, 2008

Last updated

Jan 19, 2010By 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

Tooraj Bereliani

Title

Owner

Phone

(310) 497-9251

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PLAZA PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1710144365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13351 RIVERSIDE DR STE D",
            "address_2": "SUITE 353",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232542",
            "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",
            "address_2": "STE 100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164197",
            "telephone_number": "818-380-0102",
            "fax_number": "818-380-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "BERELIANI",
        "authorized_official_first_name": "TOORAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-497-9251"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY49090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5630480",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Babak Pishgoo
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• Victoria Pivnik
• Salvador Plasencia, M.D.
• Platinum Health Care Services, Inc
• Kimberly Mishelle Pleites
• David Paul Plotkin, PHD
• Michael Pobanz, PH.D., LEP
• Mark R Poblete, MD
• Miguel Luis Poblete

• Community/Retail Pharmacy in Encino, CA
• Providers in Encino, 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 Jan 19, 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.