Mission Pharmacy and Medical Supplies Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50417 Issued in CA

Legal business name

MISSION PHARMACY AND MEDICAL SUPPLIES INC.

Practice address

1131 N Pacific Ave
Glendale, CA 91202-2358

Phone

(818) 551-1131

Fax

(818) 551-1140

NPI assigned

Sep 27, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Caroline Donabedian, RPH

Title

Vice President/Pharmacist

Phone

(626) 797-6099

Specialties & licenses 2

Addresses

Other names 1

• mission pharmacy Doing business as

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1730498684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022358",
            "telephone_number": "818-551-1131",
            "fax_number": "818-551-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022358",
            "telephone_number": "818-551-1131",
            "fax_number": "818-551-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION PHARMACY AND MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "DONABEDIAN",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "VICE PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "626-797-6099",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mission pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christelle Miskinian
• Missagh Pezeshkian, D.D. S., a Professional Corporation
• Mission City Community Network Inc.
• Mission City Community Network, Inc.
• Mission Home Care Services Inc
• Raffi Vartan Missirian
• Clinton Aaron Mitchell, PA-C
• Johnny Lee Mitchell Jr., LCSW
• Marques Mitchell
• Melissa Lou Mitchell

• 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 Sep 27, 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.