NPIMap

Organization Active NPI

Express Care Pharmacy Inc.

  • Community/Retail Pharmacy
  • Glendale, CA
National Provider Identifier
1821091596
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50437 Issued in CA
Legal business name
EXPRESS CARE PHARMACY INC.
Doing business as
Express Care Pharmacy
Practice address
801 E Broadway
Unit a
Glendale, CA 91205-4528
Phone
(818) 244-3330
Fax
(818) 244-5530
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Mikayel Mikayelyan
Title
President
Phone
(818) 244-3330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY50437 CA
Community/Retail Pharmacy 3336C0003X PHY50437 CA Primary

Addresses

Primary practice location

801 E Broadway
Unit a
Glendale, CA 91205-4528

Mailing address

801 E Broadway
Unit a
Glendale, CA 91205-4528
Phone (818) 244-3330

Other identifiers 3

IdentifierTypeStateIssuer
05-75653OtherCANABP NUMBER
PHY 50437OtherCACALIFORNIA STATE BOARD OF PHARMACY RETAIL PERMIT
1821091596OtherCAMEDI-CAL PROVIDER NUMBER

Other names 1

  • Express Care Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1821091596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E BROADWAY",
            "address_2": "UNIT A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054528",
            "telephone_number": "818-244-3330",
            "fax_number": "818-244-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E BROADWAY",
            "address_2": "UNIT A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054528",
            "telephone_number": "818-244-3330",
            "fax_number": "818-244-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS CARE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MIKAYELYAN",
        "authorized_official_first_name": "MIKAYEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-244-3330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY50437",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "05-75653",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY RETAIL PERMIT",
            "identifier": "PHY 50437",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "1821091596",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Care 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 Mar 7, 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.