FIVE STAR RX INC NPI 1194855908

NPI Information

NPI: 1194855908
Provider Name: FIVE STAR RX INC
Classification: Pharmacy - 3336C0003X
Specialization: Community/Retail Pharmacy
Entity Type: Organization
Doing Business As: FIVE STAR PHARMACY
Address: 16438 VANOWEN ST
UNIT 101
VAN NUYS, CA
ZIP 91406
Phone: (818) 786-0227

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NPI Details

FIVE STAR RX INC is a community/retail pharmacy pharmacy in Van Nuys, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. FIVE STAR RX INC NPI is 1194855908. The provider is registered as an organization entity type.
The provider Is Doing Business As Five Star Pharmacy.

The provider's business location address is:

16438 VANOWEN ST
UNIT 101
VAN NUYS, CA
ZIP 91406-733
Phone: (818) 786-0227
Fax: (818) 786-0312

The provider's authorized official is Irina V. Sadovsky .
The authorized official title is President/pic and has the following contact phone number (818) 786-0227.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	333600000X	Pharmacy		PHY 49145	CALIFORNIA	No
2	3336C0003X	Pharmacy	Community/Retail Pharmacy	PHY 49145	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0578887	OTHER	CALIFORNIA	NABP
2	PHY 49145	OTHER	CALIFORNIA	PHARMACY PERMIT
3	1194855908	OTHER	CALIFORNIA	MEDI-CAL PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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