Sherman Oaks Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHERMAN OAKS PHARMACY

Doing business as

Sherman Oaks Pharmacy

Practice address

14842 1/2 Magnolia Blvd
Sherman Oaks, CA 91403-1328

Phone

(818) 285-8655

Fax

(818) 387-6257

NPI assigned

Feb 10, 2020

Last updated

May 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Galina Portman

Title

President/Ceo

Phone

(818) 285-8655

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SHERMAN OAKS PHARMACY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Madlen Basilyan, RPH

  • Pharmacist
  • Tujunga, CA
  • NPI 1003448796
  NPD (past)

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653091200000",
    "number": "1750913448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14842 1/2 MAGNOLIA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031328",
            "telephone_number": "818-285-8655",
            "fax_number": "818-387-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14842 1/2 MAGNOLIA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031328",
            "telephone_number": "818-285-8655",
            "fax_number": "818-387-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN OAKS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A",
        "authorized_official_last_name": "PORTMAN",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-285-8655"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY58638",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHERMAN OAKS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Annie Shin
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• Community/Retail Pharmacy in Sherman Oaks, CA
• Providers in Sherman Oaks, 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 May 21, 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.

Verify at the official NPI Registry.