MEDICARE: COSMED PHARMACY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	55488	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	61319	OTHER	CA	PHARMACY

General Provider Information

NPI Number	:	1356879787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COSMED PHARMACY, INC.

Provider Business Mailing Address
First Line	:	6521 VAN NUYS BLVD
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91401-1425
Country	:	US
Telephone Number	:	818-933-2010
Fax Number	:	818-933-2018

Provider Business Practice Location Address
First Line	:	6521 VAN NUYS BLVD
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91401-1425
Country	:	US
Telephone Number	:	818-933-2010
Fax Number	:	818-933-2018

Authorized Official
Title or Position	:	CEO
Name	:	KHANH-LONG THAI
Credential	:	PHARM D
Telephone Number	:	818-933-2010

Provider Enumeration Date	:	05/30/2017
Last Update Date	:	12/24/2025

Similar Medicare Providers

1962439489 — DR. ROBERT BENTLEY ARMANI D.C.
Practice Location Address:

6525 VAN NUYS BLVD
VAN NUYS, CA
91401-1425

Practice Phone: 818-988-2123
Practice Fax: 818-988-2622

1780750752 — DR. ETHEL DIJAMCO MD
Practice Location Address:

6511 VAN NUYS BLVD
VAN NUYS, CA
91401-1425

Practice Phone: 818-901-9090
Practice Fax: 818-901-9347

1588714679 — DR. BLANCA LOPEZ GALAPON M.D.
Practice Location Address:

6511 VAN NUYS BLVD
VAN NUYS, CA
91401-1425

Practice Phone: 818-901-9090
Practice Fax: 818-901-9347

1013047281 — SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER, INC.
Practice Location Address:

6501 VAN NUYS BLVD # 102
VAN NUYS, CA
91401-1425

Practice Phone: 818-989-7475
Practice Fax: 818-781-3822

1538299680 — SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER
Practice Location Address:

6501 VAN NUYS BLVD
VAN NUYS, CA
91401-1425

Practice Phone: 818-374-5383
Practice Fax: 818-374-5388

1972636694 — VIVIAN ONYEMAECHI IKEDIASHI-AKOMAH MFTI
Practice Location Address:

6501 VAN NUYS BLVD
VAN NUYS, CA
91401-1425

Practice Phone: 818-902-5315
Practice Fax: 818-780-6562

1417114125 — MR. VAHE VARDANIAN
Practice Location Address:

6515 VAN NUYS BLVD , SUITE M
VAN NUYS, CA
91401-1425

Practice Phone: 818-908-8393
Practice Fax: 818-908-0320

Directions to “COSMED PHARMACY, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.