Organization Active NPI

LTC Pharmacy Inc

  • Pharmacy
  • Tarzana, CA
National Provider Identifier
1780308395
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LTC PHARMACY INC
Practice address
19562 Ventura Blvd Ste 218
Tarzana, CA 91356-6069
Phone
(747) 265-6680
Fax
(747) 265-6684
NPI assigned
Sep 27, 2022
Last updated
Aug 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Armin HaririNPI 1275946279
Title
Ceo
Phone
(818) 480-8060

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)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

19562 Ventura Blvd Ste 218
Tarzana, CA 91356-6069

Mailing address

19562 Ventura Blvd Ste 218
Tarzana, CA 91356-6069
Phone (747) 265-6680

National Provider Directory

National Provider Directory

Locations

18133 Ventura Blvd
Ste B
Tarzana, CA 91356

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1780308395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19562 VENTURA BLVD STE 218",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566069",
            "telephone_number": "747-265-6680",
            "fax_number": "747-265-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19562 VENTURA BLVD STE 218",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566069",
            "telephone_number": "747-265-6680",
            "fax_number": "747-265-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "HARIRI",
        "authorized_official_first_name": "ARMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-480-8060"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.