Prestige RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PRESTIGE RX INC

Doing business as

PRESTIGE CARE PHARMACY

Practice address

1220 S Central Ave Ste 103
Glendale, CA 91204-3806

Phone

(818) 244-8111

Fax

(818) 548-0093

NPI assigned

Oct 29, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Siranush Mkrtchyan

Title

President/Tech

Phone

(818) 244-8111

Specialties & licenses 1

Addresses

Other names 1

• PRESTIGE CARE PHARMACY Doing business as

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1710521182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 S CENTRAL AVE STE 103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043806",
            "telephone_number": "818-244-8111",
            "fax_number": "818-548-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S CENTRAL AVE STE 103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043806",
            "telephone_number": "818-244-8111",
            "fax_number": "818-548-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "MKRTCHYAN",
        "authorized_official_first_name": "SIRANUSH",
        "authorized_official_title_or_position": "PRESIDENT/TECH",
        "authorized_official_telephone_number": "818-244-8111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESTIGE CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Glendale, CA
• Providers in Glendale, 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 Oct 29, 2019; 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.