Healthcare Provider Details

I. General information

NPI: 1063063626
Provider Name (Legal Business Name): MEGA PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2019
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4565 SHERMAN OAKS AVE. STE. A.
SHERMAN OAKS CA
91403
US

IV. Provider business mailing address

4565 SHERMAN OAKS AVE. STE. A.
SHERMAN OAKS CA
91403
US

V. Phone/Fax

Practice location:
  • Phone: 818-975-8084
  • Fax:
Mailing address:
  • Phone: 818-975-8084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: ELVIRA ZAKARYAN
Title or Position: CEO/CFO/SEC.DIR.
Credential:
Phone: 818-894-4210