Organization Active NPI

Agoura Wellness RX Inc

Doing business as Agoura Pharmacy

  • Long Term Care Pharmacy
  • Agoura Hills, CA
National Provider Identifier
1851241210
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
AGOURA WELLNESS RX INC
Doing business as
Agoura Pharmacy
Practice address
30313 Canwood St Ste 24
Agoura Hills, CA 91301-2066
Phone
(818) 770-2300
Fax
(818) 338-0123
NPI assigned
Feb 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Yakov SuleymanovNPI 1013566561
Title
Owner
Phone
(818) 770-2300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

30313 Canwood St Ste 24
Agoura Hills, CA 91301-2066

Mailing address

30313 Canwood St Ste 24
Agoura Hills, CA 91301-2066
Phone (818) 770-2300

Other names 1

  • AGOURA PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Agoura 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1851241210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30313 CANWOOD ST STE 24",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012066",
            "telephone_number": "818-770-2300",
            "fax_number": "818-338-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30313 CANWOOD ST STE 24",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012066",
            "telephone_number": "818-770-2300",
            "fax_number": "818-338-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGOURA WELLNESS RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "SULEYMANOV",
        "authorized_official_first_name": "YAKOV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-770-2300"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGOURA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.