PW Plaza RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PW PLAZA RX INC

Doing business as

Park West Plaza Pharmacy

Practice address

7230 Medical Center Dr Ste 106
West Hills, CA 91307-4003

Phone

(818) 346-6550

Fax

(818) 348-4663

NPI assigned

Nov 16, 2016

Last updated

Jun 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aida Gevorgyan

Title

President/Ceo

Phone

(818) 346-6550

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PARK WEST PLAZA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dino Aghaians, PHARM D

  • Pharmacist
  • North Hollywood, CA
  • NPI 1104428879
  NPD
• Rozita Amirian, PHARMD

  • Pharmacist
  • West Hills, CA
  • NPI 1548649791
  NPD (past)
• Suzee Ann Kerr, PHARMACY TECH

  • Pharmacy Technician
  • West Hills, CA
  • NPI 1376678649
  NPD (past)
• Lisa Lynn Tolison, PHARMACY TECH

  • Pharmacy Technician
  • West Hills, CA
  • NPI 1609902683
  NPD (past)

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1912449380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 106",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074003",
            "telephone_number": "818-346-6550",
            "fax_number": "818-348-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 106",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074003",
            "telephone_number": "818-346-6550",
            "fax_number": "818-348-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PW PLAZA RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "AIDA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-346-6550"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY58363",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK WEST PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PARK WEST PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in West Hills, CA
• Providers in West Hills, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.