Healthcare Provider Details

I. General information

NPI: 1578998399
Provider Name (Legal Business Name): NATIONAL SCRIPT PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2013
Last Update Date: 06/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6944 RESEDA BLVD STE A
RESEDA CA
91335-4206
US

IV. Provider business mailing address

6944 RESEDA BLVD STE A
RESEDA CA
91335-4206
US

V. Phone/Fax

Practice location:
  • Phone: 877-201-0820
  • Fax: 818-304-7425
Mailing address:
  • Phone: 877-201-0820
  • Fax: 818-304-7425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number51458
License Number StateCA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier2142151
Identifier TypeOTHER
Identifier State
Identifier IssuerPK

VIII. Authorized Official

Name: RAMTIN GHAVAMI
Title or Position: PHARMACIST IN CHARGE
Credential:
Phone: 877-201-0820