Van Nuys RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 52545 Issued in CA

Legal business name

VAN NUYS RX INC

Practice address

6365 Van Nuys Blvd
Ste a
Van Nuys, CA 91401-2639

Phone

(818) 739-9507

Fax

(818) 988-2003

NPI assigned

Dec 19, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Alex Goldmen

Title

President/Owner

Phone

(818) 739-9507

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VAN NUYS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1922406172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 VENTURA BLVD",
            "address_2": "STE 760",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362744",
            "telephone_number": "818-739-9507",
            "fax_number": "818-988-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6365 VAN NUYS BLVD",
            "address_2": "STE A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012639",
            "telephone_number": "818-739-9507",
            "fax_number": "818-988-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN NUYS RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "GOLDMEN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "818-739-9507",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 52545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER NUMBER",
            "identifier": "56-53553",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VAN NUYS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Van Nuys Urgent Care Family Medicine Inc
• Frida Zoraida Van Rijs, LVN
• Carrie Vanbuskirk

• Community/Retail Pharmacy in Van Nuys, CA
• Providers in Van Nuys, 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 Oct 28, 2016; 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.