Organization Active NPI

Glendale West Pharmacy Inc

Doing business as Glendale West Pharmacy

  • Community/Retail Pharmacy
  • Glendale, CA
National Provider Identifier
1750018073
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GLENDALE WEST PHARMACY INC
Doing business as
Glendale West Pharmacy
Practice address
1109 S Glendale Ave Ste a&B
Glendale, CA 91205-5657
Phone
(818) 548-5157
Fax
(323) 978-6705
NPI assigned
Aug 5, 2022
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Monte Aladadi
Title
Ceo/Cfo/Secretary
Phone
(818) 930-6026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1109 S Glendale Ave Ste a&B
Glendale, CA 91205-5657

Mailing address

1109 S Glendale Ave Ste a&B
Glendale, CA 91205-5657
Phone (818) 548-5157

Other identifiers 1

IdentifierTypeStateIssuer
1750018073-01MedicaidCA

Other names 1

  • Glendale West Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221004003598 CA Part B Supplier - Pharmacy 1456737097 Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

1109 S Glendale Ave
Ste Ab
Glendale, CA 91205
Phone (818) 548-5157

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1750018073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 S GLENDALE AVE STE A&B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055657",
            "telephone_number": "818-548-5157",
            "fax_number": "323-978-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 S GLENDALE AVE STE A&B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055657",
            "telephone_number": "818-548-5157",
            "fax_number": "323-978-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE WEST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "ALADADI",
        "authorized_official_first_name": "MONTE",
        "authorized_official_title_or_position": "CEO/CFO/SECRETARY",
        "authorized_official_telephone_number": "818-930-6026"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750018073-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendale West Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glendale West Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.