Healthcare Provider Details

I. General information

NPI: 1710858576
Provider Name (Legal Business Name): UMC PHARMACY RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4318 W VICTORY BLVD UNIT B
BURBANK CA
91505-1334
US

IV. Provider business mailing address

4318 W VICTORY BLVD UNIT B
BURBANK CA
91505-1334
US

V. Phone/Fax

Practice location:
  • Phone: 818-559-2223
  • Fax: 818-559-2224
Mailing address:
  • Phone: 818-559-2223
  • Fax: 818-559-2224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: EMILYA DAISY GRIGORYAN
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 818-559-2223