Organization Active NPI

Expert Medical Supplies

Doing business as Lacienega Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Van Nuys, CA
National Provider Identifier
1871236562
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EXPERT MEDICAL SUPPLIES
Doing business as
Lacienega Pharmacy
Practice address
7217 Kester Ave
Van Nuys, CA 91405-2112
Phone
(818) 855-1258
Fax
(818) 855-1259
NPI assigned
Apr 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Arakel Arakelyan
Title
President
Phone
(818) 855-1258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

7217 Kester Ave
Van Nuys, CA 91405-2112

Mailing address

7217 Kester Ave
Van Nuys, CA 91405-2112
Phone (818) 855-1258

Other names 1

  • LACIENEGA PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230725000231 CA DME Supplier - Medical Supply Company 6709246689 Practice locations: Van Nuys, CA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Lacienega Pharmacy7217 Kester Ave, Van Nuys, CA 91405-2112(818) 855-1258 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Ne… Accepts assignmentParticipating since Jan 31, 2023

National Provider Directory

National Provider Directory

Locations

7217 Kester Ave
Van Nuys, CA 91405
Phone (818) 855-1258

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1871236562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 KESTER AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052112",
            "telephone_number": "818-855-1258",
            "fax_number": "818-855-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 KESTER AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052112",
            "telephone_number": "818-855-1258",
            "fax_number": "818-855-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERT MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "ARAKELYAN",
        "authorized_official_first_name": "ARAKEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-855-1258"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LACIENEGA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.