A & G Vitalife Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

A & G VITALIFE INC

Practice address

7233 Corbin Ave
Winnetka, CA 91306-3006

Phone

(747) 202-3638

Fax

(747) 202-3639

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Gevork Danielian, PHARM D

Title

President/Pic

Phone

(747) 202-3638

Specialties & licenses 1

Addresses

Other names 1

• A & G CARE PHARMACY Doing business as

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1982003190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 CORBIN AVE",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063006",
            "telephone_number": "747-202-3638",
            "fax_number": "747-202-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7233 CORBIN AVE",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063006",
            "telephone_number": "747-202-3638",
            "fax_number": "747-202-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & G VITALIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "DANIELIAN",
        "authorized_official_first_name": "GEVORK",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "747-202-3638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A & G CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Winnetka, CA
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.