Organization Active NPI

Maggie'S Pharmacy Inc

  • Long Term Care Pharmacy
  • Simi Valley, CA
National Provider Identifier
1972128676
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MAGGIE'S PHARMACY INC
Practice address
2315 Kuehner Dr Ste 108
Simi Valley, CA 93063-3960
Phone
(805) 770-1003
Fax
(805) 770-1004
NPI assigned
Jun 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Dr. Nare Petoyan, PHARM DNPI 1386172963
Title
President/Pic
Phone
(805) 770-1003

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2315 Kuehner Dr Ste 108
Simi Valley, CA 93063-3960

Mailing address

2315 Kuehner Dr Ste 108
Simi Valley, CA 93063-3960
Phone (805) 770-1003

Other names 1

  • MAGGIE'S PHARMACY II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maggie'S Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2315 Kuehner Dr
Ste 108
Simi Valley, CA 93063
Phone (805) 770-1003

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": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1972128676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 KUEHNER DR STE 108",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633960",
            "telephone_number": "805-770-1003",
            "fax_number": "805-770-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 KUEHNER DR STE 108",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633960",
            "telephone_number": "805-770-1003",
            "fax_number": "805-770-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGGIE'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "PETOYAN",
        "authorized_official_first_name": "NARE",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "805-770-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAGGIE'S PHARMACY II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.