Organization Active NPI

Skypark Pharmacy Inc

  • Pharmacy
  • Torrance, CA
National Provider Identifier
1932206919
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY46331 Issued in CA
Legal business name
SKYPARK PHARMACY INC
Doing business as
VM PHARMACY
Practice address
23451 Madison St Ste 100
Torrance, CA 90505-4736
Phone
(310) 378-0005
Fax
(310) 378-9397
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Dr. Elena S Tumasyan, PHARMDNPI 1881733186
Title
Pic
Phone
(310) 378-0005

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
Pharmacy 333600000X PHY46331 CA Primary

Addresses

Primary practice location

23451 Madison St Ste 100
Torrance, CA 90505-4736

Mailing address

23451 Madison St Ste 100
Torrance, CA 90505-4736
Phone (310) 378-0005

Other identifiers 1

IdentifierTypeStateIssuer
PHA463310MedicaidCA

Other names 1

  • VM PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930071382 CA DME Supplier - Pharmacy 2668681883 Practice locations: Torrance, CA
O20210205002380 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2668681883 Practice locations: Torrance, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
VM Pharmacy23451 Madison St, Torrance, CA 90505-4736(310) 378-0005 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Canes and/or Crutches|Patient Lifts|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelc… Does not accept assignmentParticipating since Jul 2, 2004

National Provider Directory

National Provider Directory

Locations

23451 Madison St
Ste 100
Torrance, CA 90505
Phone (310) 378-0005

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1932206919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054736",
            "telephone_number": "310-378-0005",
            "fax_number": "310-378-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054736",
            "telephone_number": "310-378-0005",
            "fax_number": "310-378-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYPARK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "TUMASYAN",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "310-378-0005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY46331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA463310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.