NPIMap

Organization Active NPI

Cahuenga Blvd Pharmacy Inc

  • Community/Retail Pharmacy
  • North Hollywood, CA
National Provider Identifier
1962940700
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY55532 Issued in CA
Legal business name
CAHUENGA BLVD PHARMACY INC
Practice address
5503 Cahuenga Blvd
Ste 100
North Hollywood, CA 91601-2920
Phone
(818) 980-1445
Fax
(818) 980-1446
NPI assigned
Feb 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Souren Basmadjian
Title
Owner / Pic
Phone
(818) 980-1445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY55532 CA Primary

Addresses

Primary practice location

5503 Cahuenga Blvd
Ste 100
North Hollywood, CA 91601-2920

Mailing address

5503 Cahuenga Blvd
Ste 100
North Hollywood, CA 91601-2920
Phone (818) 980-1445

Other identifiers 1

IdentifierTypeStateIssuer
2167645OtherPK

Other names 1

  • Cahuenga Blvd Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5503 Cahuenga Blvd
Ste 100
North Hollywood, CA 91601
Phone (818) 980-1445

Practitioners & affiliated clinicians

Practitioners 2

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": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1962940700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 CAHUENGA BLVD",
            "address_2": "STE 100",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012920",
            "telephone_number": "818-980-1445",
            "fax_number": "818-980-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 CAHUENGA BLVD",
            "address_2": "STE 100",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012920",
            "telephone_number": "818-980-1445",
            "fax_number": "818-980-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAHUENGA BLVD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "BASMADJIAN",
        "authorized_official_first_name": "SOUREN",
        "authorized_official_title_or_position": "OWNER / PIC",
        "authorized_official_telephone_number": "818-980-1445"
    },
    "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": "PHY55532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167645",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cahuenga Blvd Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.