Healthcare Provider Details

I. General information

NPI: 1447179759
Provider Name (Legal Business Name): VERTEX CARE RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11273 LAUREL CANYON BLVD STE 4
SAN FERNANDO CA
91340-4359
US

IV. Provider business mailing address

11273 LAUREL CANYON BLVD STE 4
SAN FERNANDO CA
91340-4359
US

V. Phone/Fax

Practice location:
  • Phone: 818-638-9652
  • Fax: 818-638-9653
Mailing address:
  • Phone: 818-638-9652
  • Fax: 818-638-9653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GOHAR SHIMSHIRYAN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 818-638-9652