KPG Pharmacy Co.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KPG PHARMACY CO.

Doing business as

Tarzana Village Pharmacy

Practice address

18735 Ventura Blvd
Tarzana, CA 91356-3302

Phone

(818) 917-8851

NPI assigned

Jun 10, 2024

Last updated

Nov 12, 2024By 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

Dr. Glareh Tafreshi, PHARMD

Title

Owner

Phone

(818) 743-0011

Specialties & licenses 3

Addresses

Other names 1

• Tarzana Village Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

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

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.

• Koushyar Pouromid

  • Pharmacist
  • Tarzana, CA
  • NPI 1861893901
  NPD

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1780426999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23620 DRACO WAY",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071352",
            "telephone_number": "818-913-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18735 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563302",
            "telephone_number": "818-917-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPG PHARMACY CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "TAFRESHI",
        "authorized_official_first_name": "GLAREH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-743-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tarzana Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tarzana Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alisa Kostukovsky, PT, DPT
• Eric Kouznetsov
• Ray N. Kovacs, D.C.
• Gerald Michael Kovar, M.D.
• Kimberly Claire Kozel
• Stuart Beryl Kramer, M.D.
• Svetlana Krasilshchik, LCSW
• Adam Jacob Kreitenberg, M.D.
• Jackie Lynn Kreitzman, M.A.,C.C.C.
• Krikor B. Tatoyan, M.D., Inc.

• Community/Retail Pharmacy in Tarzana, CA
• Providers in Tarzana, 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 Nov 12, 2024; 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.