Organization Active NPI

Reseda Pharmacy Inc

  • Community/Retail Pharmacy
  • Reseda, CA
National Provider Identifier
1962496596
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY47343 Issued in CA
Legal business name
RESEDA PHARMACY INC
Practice address
6900 Reseda Blvd
Unit E
Reseda, CA 91335-4222
Phone
(818) 708-3030
Fax
(818) 345-0299
NPI assigned
Sep 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Authorized official

Name
Oshin Acopian, RPH
Title
Pic President
Phone
(818) 708-3030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY47343 CA Primary

Addresses

Primary practice location

6900 Reseda Blvd
Unit E
Reseda, CA 91335-4222

Mailing address

6900 Reseda Blvd
Unit E
Reseda, CA 91335-4222
Phone (818) 708-3030

Other identifiers 2

IdentifierTypeStateIssuer
1996330OtherPK
PHA462480MedicaidCA

Other names 1

  • RESEDA PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

6900 Reseda Blvd
Ste E
Reseda, CA 91335
Phone (818) 708-3030

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1962496596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 RESEDA BLVD",
            "address_2": "UNIT E",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354222",
            "telephone_number": "818-708-3030",
            "fax_number": "818-345-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 RESEDA BLVD",
            "address_2": "UNIT E",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354222",
            "telephone_number": "818-708-3030",
            "fax_number": "818-345-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESEDA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "ACOPIAN",
        "authorized_official_first_name": "OSHIN",
        "authorized_official_title_or_position": "PIC PRESIDENT",
        "authorized_official_telephone_number": "818-708-3030",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY47343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1996330",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA462480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RESEDA PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.