Active NPI
Avs Pharmacy Inc
- Community/Retail Pharmacy
- Glendale, CA
National Provider Identifier
1790090280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY 50366
- Legal business name
- AVS PHARMACY INC
- Practice address
- 511 1/2 E Broadway
Glendale, CA 91205-1110 - Phone
- (818) 484-8680
- Fax
- (818) 484-8684
- NPI assigned
- Aug 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vardui Malumyan, PHARM D
- Title
- President/ Pic
- Phone
- (818) 484-8680
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY 50366 | CA | |
| Community/Retail Pharmacy | 3336C0003X | PHY 50366 | CA | Primary |
Addresses
Primary practice location
511 1/2 E Broadway
Glendale, CA 91205-1110
Mailing address
511 1/2 E Broadway
Glendale, CA 91205-1110
Phone (818) 484-8680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY 50366 | Other | CA | RETAIL PHARMACY PERMIT |
Other names 1
- AVS PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Avs Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Glendale, CA
- NPI 1366262081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1790090280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 1/2 E BROADWAY",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051110",
"telephone_number": "818-484-8680",
"fax_number": "818-484-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 1/2 E BROADWAY",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051110",
"telephone_number": "818-484-8680",
"fax_number": "818-484-8684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-10",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "MALUMYAN",
"authorized_official_first_name": "VARDUI",
"authorized_official_title_or_position": "PRESIDENT/ PIC",
"authorized_official_telephone_number": "818-484-8680",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY 50366",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY 50366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RETAIL PHARMACY PERMIT",
"identifier": "PHY 50366",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AVS 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 Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.