NPIMap

Organization Active NPI

Kovacs Pharmacy Inc

  • Long Term Care Pharmacy
  • Van Nuys, CA
National Provider Identifier
1912010604
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY49968 Issued in CA
Legal business name
KOVACS PHARMACY INC
Practice address
14423 Gilmore St
Van Nuys, CA 91401-1430
Phone
(818) 786-2660
Fax
(818) 782-3100
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Irina Pustilnikova
Title
Owner
Phone
(818) 786-2660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PHY49968 CA Primary

Addresses

Primary practice location

14423 Gilmore St
Van Nuys, CA 91401-1430

Mailing address

14423 Gilmore St
Van Nuys, CA 91401-1430
Phone (818) 786-2660

Other identifiers 1

IdentifierTypeStateIssuer
0502408OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Kovac's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

14423 Gilmore St
Van Nuys, CA 91401
Phone (818) 786-2660

Practitioners & affiliated clinicians

Practitioners 4

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1912010604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14423 GILMORE ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011430",
            "telephone_number": "818-786-2660",
            "fax_number": "818-782-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14423 GILMORE ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011430",
            "telephone_number": "818-786-2660",
            "fax_number": "818-782-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOVACS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "PUSTILNIKOVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-786-2660"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY49968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0502408",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kovac's 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 Dec 31, 2012; 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.