Organization Active NPI

Altadena Medical Pharmacy Incorporated

Doing business as Altadena Medical Pharmacy

  • Long Term Care Pharmacy
  • Pasadena, CA
National Provider Identifier
1790677631
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ALTADENA MEDICAL PHARMACY INCORPORATED
Doing business as
Altadena Medical Pharmacy
Practice address
2525 E Foothill Blvd Ste 6
Pasadena, CA 91107-3485
Phone
(626) 765-6246
NPI assigned
Jul 16, 2025
Last updated
Jul 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Gayane Danielyan
Title
Ceo
Phone
(626) 765-6246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2525 E Foothill Blvd Ste 6
Pasadena, CA 91107-3485

Mailing address

2525 E Foothill Blvd Ste 6
Pasadena, CA 91107-3485
Phone (626) 765-6246

Other names 1

  • Altadena Medical Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Altadena Medical Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1790677631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E FOOTHILL BLVD STE 6",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073485",
            "telephone_number": "626-765-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 E FOOTHILL BLVD STE 6",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073485",
            "telephone_number": "626-765-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTADENA MEDICAL PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "DANIELYAN",
        "authorized_official_first_name": "GAYANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-765-6246"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altadena Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.