Organization Active NPI

Delta Drugs II Inc

  • Community/Retail Pharmacy
  • Glendale, CA
National Provider Identifier
1790036671
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
53285 Issued in CA
Legal business name
DELTA DRUGS II INC
Practice address
437 Fernando CT
Glendale, CA 91204-2723
Phone
(818) 309-2884
Fax
(818) 309-2886
NPI assigned
Oct 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2025

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

Authorized official

Name
Rita Avakian
Title
President
Phone
(818) 309-2649

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 53285 CA Primary
Managed Care Organization Pharmacy 3336M0003X

Addresses

Primary practice location

437 Fernando CT
Glendale, CA 91204-2723

Mailing address

437 Fernando CT
Glendale, CA 91204-2723
Phone (818) 309-2884

Other identifiers 1

IdentifierTypeStateIssuer
2137165OtherPK

Other names 1

  • Delta Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150714002258 CA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 5890998934 Practice locations: Glendale, CA
O20161203000283 CA Part B Supplier - Pharmacy 5890998934 Practice locations: Glendale, CA

National Provider Directory

National Provider Directory
Tax ID family
Delta Drugs4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

13085 Central Ave
Ste 7
Chino, CA 91710
Phone (909) 590-4433

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749254400000",
    "number": "1790036671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 FERNANDO CT",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042723",
            "telephone_number": "818-309-2884",
            "fax_number": "818-309-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 FERNANDO CT",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042723",
            "telephone_number": "818-309-2884",
            "fax_number": "818-309-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA DRUGS II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A",
        "authorized_official_last_name": "AVAKIAN",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-309-2649"
    },
    "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": "CA",
            "license": "53285",
            "primary": true
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137165",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Drugs",
            "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 Jun 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.