MEDICARE: CAHUENGA BLVD 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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PHY55532	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2167645	OTHER		PK

General Provider Information

NPI Number	:	1962940700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAHUENGA BLVD PHARMACY INC

Provider Business Mailing Address
First Line	:	5503 CAHUENGA BLVD
Second Line	:	STE 100
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-2920
Country	:	US
Telephone Number	:	818-980-1445
Fax Number	:	818-980-1446

Provider Business Practice Location Address
First Line	:	5503 CAHUENGA BLVD
Second Line	:	STE 100
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-2920
Country	:	US
Telephone Number	:	818-980-1445
Fax Number	:	818-980-1446

Authorized Official
Title or Position	:	OWNER / PIC
Name	:	SOUREN BASMADJIAN
Credential	:
Telephone Number	:	818-980-1445

Provider Enumeration Date	:	02/01/2017
Last Update Date	:	04/19/2017

Similar Medicare Providers

1912451592 — SAINT MARIA HOSPICE CARE INC.
Practice Location Address:

5503 CAHUENGA BLVD STE 200
NORTH HOLLYWOOD, CA
91601-2920

Practice Phone: 818-648-1767
Practice Fax: 818-242-1248

1669577748 — MS. RONI LYNN O.T. L
Practice Location Address:

911 SAINT ANDREWS RD
HOLLYWOOD, FL
33021-2920

Practice Phone: 954-983-1114
Practice Fax: 954-893-3733

1326432535 — EILEEN ROJAS LCSW
Practice Location Address:

531 E HOLLYWOOD AVE
SALT LAKE CITY, UT
84105-2920

Practice Phone: 801-657-8386
Practice Fax:

1417046418 — DR. DOREATHA JEAN POWELL D.O.
Practice Location Address:

2920 NORTH STEMMONS
DALLAS, TX
75247

Practice Phone: 214-630-2331
Practice Fax:

1831266287 — HEALTHLINE REHAB & MEDICAL CLINIC, INC
Practice Location Address:

4615 NORTH FWY STE 204 , #106
HOUSTON, TX
77022-2920

Practice Phone: 713-694-0051
Practice Fax: 713-694-4711

1649334442 — NORTH COUNTRY HEALTHCARE, INC.
Practice Location Address:

2920 NORTH 4TH STREET
FLAGSTAFF, AZ
86004

Practice Phone: 928-213-0589
Practice Fax: 928-213-0597

Directions to “CAHUENGA BLVD 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.