Super Pill Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SUPER PILL INC

Practice address

6320 Van Nuys Blvd Ste 301
Van Nuys, CA 91401-6637

Phone

(310) 800-2265

Fax

(310) 861-5898

NPI assigned

Dec 6, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Alica Ashikian

Title

President/Owner

Phone

(310) 800-2265

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• D&K TECH RX Doing business as

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1831736065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 VAN NUYS BLVD STE 301",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016637",
            "telephone_number": "310-800-2265",
            "fax_number": "310-861-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 VAN NUYS BLVD STE 301",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016637",
            "telephone_number": "310-800-2265",
            "fax_number": "310-861-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER PILL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "ASHIKIAN",
        "authorized_official_first_name": "ALICA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "310-800-2265",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "57174",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D&K TECH RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Van Nuys, CA
• Providers in Van Nuys, 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 Dec 6, 2019; 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.