Prima Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY51571 Issued in CA

Legal business name

PRIMA PHARMACY INC

Practice address

12643 Sherman Way
Unit C
North Hollywood, CA 91605-5270

Phone

(818) 765-2555

Fax

(818) 765-2755

NPI assigned

Jul 2, 2013

Organization subpart

No

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

Authorized official

Name

Noune Gasparyan

Title

Owner

Phone

(818) 765-2555

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PRIMA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766534400000",
    "number": "1730529959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12643 SHERMAN WAY STE C",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055271",
            "telephone_number": "818-765-2555",
            "fax_number": "818-765-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12643 SHERMAN WAY",
            "address_2": "UNIT C",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055270",
            "telephone_number": "818-765-2555",
            "fax_number": "818-765-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A",
        "authorized_official_last_name": "GASPARYAN",
        "authorized_official_first_name": "NOUNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-765-2555"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730529959",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY LICENSE",
            "identifier": "PHY 51571",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Dental Clinic
• Premier Imaging Management Company
• Premier Pain Management, Inc.
• Prestige Residential Care Facility
• Marnie Price
• Primary Healthcare Solutions
• Primary Plus Home Health, Inc.
• Primcare Medical Center Inc
• Prime Diagnostics Inc
• Prime Home Health Care, Inc.

• Community/Retail Pharmacy in North Hollywood, CA
• Providers in North Hollywood, 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 Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.