MEDICARE: VERDUGO HILLS PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PHY 53639	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2141882	OTHER	CA	PK

General Provider Information

NPI Number	:	1144615550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERDUGO HILLS PHARMACY INC

Provider Business Mailing Address
First Line	:	1808 VERDUGO BLVD
Second Line	:	SUITE 111
City	:	GLENDALE
State	:	CA
Zip	:	91208-1477
Country	:	US
Telephone Number	:	818-952-2223
Fax Number	:	818-952-4760

Provider Business Practice Location Address
First Line	:	1808 VERDUGO BLVD
Second Line	:	SUITE 111
City	:	GLENDALE
State	:	CA
Zip	:	91208-1477
Country	:	US
Telephone Number	:	818-952-2223
Fax Number	:	818-952-4760

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. ARMEN DER-HARTUNIAN
Credential	:
Telephone Number	:	818-952-2223

Provider Enumeration Date	:	04/02/2015
Last Update Date	:	05/21/2026

Similar Medicare Providers

1831190099 — ALICE L YUN M.D.
Practice Location Address:

1808 VERDUGO BLVD
GLENDALE, CA
91208-1477

Practice Phone: 818-952-5322
Practice Fax:

1891776258 — DR. JAMES FRANCIS REILLY M.D.
Practice Location Address:

1808 VERDUGO BLVD , 209
GLENDALE, CA
91208-1477

Practice Phone: 818-949-4494
Practice Fax: 818-949-7330

1235106188 — DR. JOANA JOY TAMAYO M.D.
Practice Location Address:

1808 VERDUGO BLVD , SUITE 208
GLENDALE, CA
91208-1477

Practice Phone: 818-952-5322
Practice Fax: 818-952-7993

1104893775 — DR. KERRI SHANE PARKS M.D.
Practice Location Address:

1808 VERDUGO BLVD , SUITE 208
GLENDALE, CA
91208-1477

Practice Phone: 818-952-5322
Practice Fax: 818-952-7993

1013977206 — DR. ELLIE BLOOMFIELD M.D.
Practice Location Address:

1808 VERDUGO BLVD , SUITE 403
GLENDALE, CA
91208-1477

Practice Phone: 818-790-7098
Practice Fax: 818-790-7099

1790741064 — PAUL H TOFFEL M.D.
Practice Location Address:

1808 VERDUGO BLVD , SUITE 418
GLENDALE, CA
91208-1477

Practice Phone: 818-790-3172
Practice Fax: 818-790-3807

Directions to “VERDUGO HILLS PHARMACY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.