Active NPI
Maggie'S Pharmacy Inc
- Long Term Care Pharmacy
- Simi Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nare Petoyan, PHARM D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Maggie'S Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Simi Valley, CA
- NPI 1316562077
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.
-
- Pharmacist
- Tarzana, CA
- NPI 1386172963
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.