Active NPI
K & S Eaglestein Inc
- Community/Retail Pharmacy
- Sylmar, CA
National Provider Identifier
1720550858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- K & S EAGLESTEIN INC
- Practice address
- 13677 Foothill Blvd
Unit B
Sylmar, CA 91342 - Phone
- (818) 698-4053
- Fax
- (818) 698-4046
- NPI assigned
- Dec 31, 2018
- 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
- Dr. Sevak Hovagimyan, PHARM.D
- Title
- President
- Phone
- (818) 640-9515
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
13677 Foothill Blvd
Unit B
Sylmar, CA 91342
Mailing address
13677 Foothill Blvd
Unit B
Sylmar, CA 91342
Phone (818) 698-4053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56853 | Other | CA | CALIFORNIA STATE BOARD OF PHARMACY |
Other names 1
- Sylmar Medical Pharmacy
National Provider Directory
National Provider DirectoryLocations
13677 Foothill Blvd
#B
Sylmar, CA 91342
Phone (818) 698-4053
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Sylmar, CA
- NPI 1467914317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643846400000",
"number": "1720550858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13677 FOOTHILL BLVD",
"address_2": "UNIT B",
"city": "SYLMAR",
"state": "CA",
"postal_code": "91342",
"telephone_number": "818-698-4053",
"fax_number": "818-698-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13677 FOOTHILL BLVD",
"address_2": "UNIT B",
"city": "SYLMAR",
"state": "CA",
"postal_code": "91342",
"telephone_number": "818-698-4053",
"fax_number": "818-698-4046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K & S EAGLESTEIN INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-31",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A",
"authorized_official_last_name": "HOVAGIMYAN",
"authorized_official_first_name": "SEVAK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-640-9515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE BOARD OF PHARMACY",
"identifier": "56853",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sylmar Medical Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sylmar Medical Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sylmar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.