Landmark Specialty Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY53575 Issued in CA

Legal business name

LANDMARK SPECIALTY PHARMACY INC

Practice address

1208 W Magnolia Blvd
Burbank, CA 91506-1830

Phone

(818) 260-0010

Fax

(888) 641-7979

NPI assigned

Nov 11, 2010

Organization subpart

No

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

Authorized official

Name

Marine Zatikian, PHARMDNPI 1972058600

Title

President/Pharmacist

Phone

(818) 260-0010

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LANDMARK SPECIALTY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Landmark Specialty Pharmacy Inc2 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.

• Landmark Specialty Pharmacy Inc LTC

  • Long Term Care Pharmacy
  • Burbank, CA
  • NPI 1336911015
  NPD tax ID

Locations

Practitioners 2

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

• Marine Zatikian, PHARMD

  • Pharmacist
  • Burbank, CA
  • NPI 1972058600
  NPD Authorized official
• Izabella Severekyan, PHARMD

  • Pharmacist
  • Toluca Lake, CA
  • NPI 1811667843
  NPD (past)

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1922309681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061830",
            "telephone_number": "818-260-0010",
            "fax_number": "888-641-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061830",
            "telephone_number": "818-260-0010",
            "fax_number": "888-641-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK SPECIALTY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "ZATIKIAN",
        "authorized_official_first_name": "MARINE",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "818-260-0010",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY53575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY RETAIL PERMIT",
            "identifier": "PHY 53575",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER",
            "identifier": "56-39387",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANDMARK SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LANDMARK SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trinh Lam, PHARMD
• Vivianne Lam
• Brian Michael Lambert
• Landa Mizin Dental Partnership
• Erica Jade Landers, DPT
• Landmark Specialty Pharmacy Inc LTC
• Carsen M Lane
• Kaylan Lane, DC
• Laurence Alan Lang, M.D.
• Lisa Langarica

• Community/Retail Pharmacy in Burbank, CA
• Providers in Burbank, 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 Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.