Organization Active NPI

Central Pharmacy Group Inc

  • Community/Retail Pharmacy
  • Glendale, CA
National Provider Identifier
1871644856
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
49894 Issued in CA
Legal business name
CENTRAL PHARMACY GROUP INC
Doing business as
GLENDALE URGENT CARE PHARMACY
Practice address
801 S Chevy Chase Dr Ste 111
Ste 111
Glendale, CA 91205-4435
Phone
(818) 502-9097
Fax
(818) 502-9750
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Raffi Papazian, PHARM DNPI 1841955721
Title
Pic
Phone
(626) 429-4415

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
Community/Retail Pharmacy 3336C0003X 49894 CA Primary

Addresses

Primary practice location

801 S Chevy Chase Dr Ste 111
Ste 111
Glendale, CA 91205-4435

Mailing address

801 S Chevy Chase Dr Ste 111
Ste 111
Glendale, CA 91205-4435
Phone (818) 502-9097

Other identifiers 2

IdentifierTypeStateIssuer
2116067OtherPK
1871644856MedicaidCA

Other names 1

  • GLENDALE URGENT CARE PHARMACY Doing business as

National Provider Directory

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1871644856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR STE 111",
            "address_2": "STE 111",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054435",
            "telephone_number": "818-502-9097",
            "fax_number": "818-502-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR STE 111",
            "address_2": "STE 111",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054435",
            "telephone_number": "818-502-9097",
            "fax_number": "818-502-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PHARMACY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "PAPAZIAN",
        "authorized_official_first_name": "RAFFI",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "626-429-4415",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "49894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2116067",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871644856",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLENDALE URGENT CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.