Poly-Med Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

POLY-MED PHARMACY INC

Practice address

17313 Roscoe Blvd
Northridge, CA 91325-3901

Phone

(747) 235-3535

Fax

(747) 224-1188

NPI assigned

Feb 14, 2023

Organization subpart

No

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

Authorized official

Name

Ernest Shirvanian

Title

Ceo

Phone

(747) 235-3533

Specialties & licenses 1

Addresses

Other names 1

• POLY-MED PHARMACY Doing business as

Tax ID family

Poly-Med 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.

• Poly-Med Pharmacy Inc

  • Community/Retail Pharmacy
  • Northridge, CA
  • NPI 1043713969
  NPD tax ID

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1851098412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17313 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913253901",
            "telephone_number": "747-235-3535",
            "fax_number": "747-224-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17313 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913253901",
            "telephone_number": "747-235-3535",
            "fax_number": "747-224-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLY-MED PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "SHIRVANIAN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-235-3533"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POLY-MED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• PNH Hospice Group
• Delia G Poblete
• John Pola
• Chanel Rae Pollard
• Poly-Med Pharmacy Inc
• Angela Ponce
• Maria Irene Ponce, MSW, ACSW
• Christine Popaj, LMFT
• Michelle Porciuncula
• Alexandra-Joyce Porte

• Long Term Care Pharmacy in Northridge, CA
• Providers in Northridge, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.