Glendale Community Care Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GLENDALE COMMUNITY CARE PHARMACY INC

Practice address

818 N. Pacific Ave
Suite B
Glendale, CA 91203-3632

Phone

(818) 956-0044

Fax

(818) 956-0042

NPI assigned

Mar 30, 2012

Organization subpart

No

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

Authorized official

Name

Vardui Pndlyan

Title

Owner

Phone

(818) 268-8833

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1831465111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N. PACIFIC AVE",
            "address_2": "SUITE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033632",
            "telephone_number": "818-956-0044",
            "fax_number": "818-956-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N. PACIFIC AVE",
            "address_2": "SUITE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033632",
            "telephone_number": "818-956-0044",
            "fax_number": "818-956-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE COMMUNITY CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "PNDLYAN",
        "authorized_official_first_name": "VARDUI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-268-8833"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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": []
}

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• Community/Retail Pharmacy in Glendale, CA
• Providers in Glendale, 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 Mar 30, 2012; 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.