SPECTRA SCRIPTS PHARMACY INC (NPI# 1538521588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538521588 |
| Entity Type | Organization |
| Organization Name | SPECTRA SCRIPTS PHARMACY INC |
| Other Organization Name | SPECTRA SCRIPTS PHARMACY |
| Practice Address |
567 W Glenoaks Blvd Glendale CA 91202-2858 |
| Practice Telephone | 8188759944 |
| Practice Fax Number | 8183012171 |
| Mailing Telephone | 8188759944 |
| Mailing Fax Number | 8183012171 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2019-06-27 |
| Authorized Official Name | MR. ARTYR MNATSAKANIAN (PRESIDENT/CEO/OWNER) |
| Authorized Official Telephone | 8188759944 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Noor Pharmacy | Doing Business As Name - Organization |
| Spectra Scripts Pharmacy | Doing Business As Name - Organization |
| Street Address |
567 W GLENOAKS BLVD |
| City | GLENDALE |
| State | CA |
| Zip Code | 91202-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782352 | Arnemetia Hospice, Inc. | Hospice Care, Community Based | 567 W Glenoaks Blvd, Glendale, CA 91202-2858 | 2020-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538857 | Forever Active Cbas | Clinic/Center | 1111 W Glenoaks Blvd, Glendale, CA 91202 | 2018-11-29 |
| 1144724436 | Kristine Bustos | Nurse Practitioner | 1200 N Pacific Ave Ste 104, Glendale, CA 91202 | 2018-03-21 |
| 1295159614 | Kevin Lew | Dentist | 1122 N. Brand Blvd. Suite 102, Glendale, CA 91202 | 2014-02-05 |
| 1568709350 | Helen Chalakians | Counselor | 525 Glenwood Rd, Glendale, CA 91202 | 2013-01-14 |
| 1316216161 | Teresa Eligio | Nurse Practitioner | 857 Grant Ave, Glendale, CA 91202 | 2011-12-23 |
| 1033486139 | Advance Hospice Care, Inc. | Home Health | 1209 N. Central Ave Suite 204, Glendale, CA 91202 | 2011-11-18 |
| 1659518785 | Sarine Davityan | Marriage & Family Therapist | 1010 N Central Ave # 310, Glendale, CA 91202 | 2009-01-12 |
| 1760635619 | Tatiana Mikaelian Dds Inc | Dentist | 1209 N. Central Ave, #203, Glendale, CA 91202 | 2008-10-23 |
| 1669624219 | Marine Demirjian | Allergy & Immunology | 1131 N Pacific Ave, Glendale, CA 91202 | 2008-10-15 |
| 1902055783 | Lousine Vahagn Kirakosian | Dentist | 125 E. Glenoaks Blvd., Suite 103, Glendale, CA 91202 | 2008-09-16 |
| Find all providers in zip 91202 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154975043 | Bethany Home Discount Pharmacy LLC | Pharmacy | 6601 W Bethany Home Rd Ste A10, Glendale, AZ 85301-4946 | 2019-07-29 |
| 1124556196 | Glendale Chemist LLC | Pharmacy | 6801 Myrtle Ave, Glendale, NY 11385-7267 | 2017-06-02 |
| 1225581275 | Dennis Karasek Md Pllc | Pharmacy | 18555 N 79th Ave Ste D107, Glendale, AZ 85308-6040 | 2016-07-26 |
| 1184081515 | Hep Pharmacy Inc | Pharmacy | 900 W Glenoaks Blvd, Suite G, Glendale, CA 91202-2663 | 2016-01-15 |
| 1588040786 | Glendale Adventist Medical Center | Pharmacy | 1509 Wilson Ter Rm 4b13, Glendale, CA 91206-4007 | 2015-08-11 |
| 1265813943 | Trinity Rx, Corp. | Pharmacy | 7521 Myrtle Ave, Glendale, NY 11385-7419 | 2015-06-18 |
| 1215350327 | Jeeva LLC | Pharmacy | 501 W Glenoaks Blvd Ste 12, Glendale, CA 91202-4041 | 2014-01-24 |
| 1902248453 | Unichoice, Inc | Pharmacy | 1436 W Glenoaks Blvd, Suite A, Glendale, CA 91201-1984 | 2013-07-25 |
| 1790090280 | Avs Pharmacy Inc | Pharmacy | 511 1/2 E Broadway, Glendale, CA 91205-1110 | 2010-08-10 |
| 1467770560 | Kenneth Road Pharmacy Inc | Pharmacy | 1400 Kenneth Rd., Glendale, CA 91201-1422 | 2010-05-13 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.