Active NPI
Reseda Pharmacy Inc
- Community/Retail Pharmacy
- Reseda, CA
National Provider Identifier
1962496596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY47343
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1996330 | Other | PK | |
| PHA462480 | Medicaid | CA |
Other names 1
- RESEDA PHARMACY INC
National Provider Directory
National Provider DirectoryLocations
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.