Active NPI
Greywell Pharmacy Inc
Doing business as Greywell Pharmacy
- Community/Retail Pharmacy
- North Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GREYWELL PHARMACY INC
- Doing business as
- Greywell Pharmacy
- Practice address
- 10672 Riverside Dr
North Hollywood, CA 91602-2319 - Phone
- (818) 306-5500
- Fax
- (818) 287-0999
- NPI assigned
- Dec 16, 2013
- Last updated
- Jun 29, 2022
- 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
- Mikhail Lvovich, PHARM D
- Title
- President/Ceo
- Phone
- (818) 306-5500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
10672 Riverside Dr
North Hollywood, CA 91602-2319
Mailing address
10672 Riverside Dr
North Hollywood, CA 91602-2319
Phone (818) 306-5500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY58650 | Other | CA | BOARD OF PHARMACY |
| 56-49910 | Other | CA | NCPDP PROVIDER NUMBER |
Other names 1
- GREYWELL PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200619002352 | CA | DME Supplier - Pharmacy | 9436571429 | Practice locations: North Hollywood, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Greywell Pharmacy | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
10672 Riverside Dr
Toluca Lake, CA 91602
Phone (818) 306-5500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Lancaster, CA
- NPI 1407220759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656460800000",
"number": "1841611902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10672 RIVERSIDE DR",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916022319",
"telephone_number": "818-306-5500",
"fax_number": "818-287-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10672 RIVERSIDE DR",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916022319",
"telephone_number": "818-306-5500",
"fax_number": "818-287-0999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREYWELL PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-16",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A",
"authorized_official_last_name": "LVOVICH",
"authorized_official_first_name": "MIKHAIL",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "818-306-5500",
"authorized_official_credential": "PHARM D"
},
"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",
"identifier": "PHY58650",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER NUMBER",
"identifier": "56-49910",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GREYWELL PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "GREYWELL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.