=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265344592
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEXTCARE PHARMACY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/21/2026
-----------------------------------------------------
Last Update Date | 09/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 22998 VENTURA BLVD
-----------------------------------------------------
City | WOODLAND HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91364-1205
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-912-6104
-----------------------------------------------------
Fax | 818-912-6410
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 22998 VENTURA BLVD
-----------------------------------------------------
City | WOODLAND HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91364-1205
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-912-6104
-----------------------------------------------------
Fax | 818-912-6410
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LUSIK KAGRAMANYAN
-----------------------------------------------------
Credential | PHARMD
-----------------------------------------------------
Telephone | 818-726-3701
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------