SUPER PHARM INC NPI 1578908778

NPI Information

  • NPI: 1578908778
  • Provider Name: SUPER PHARM INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: STATE PHARMACY
  • Address: 15714 1/2 VANOWEN ST
    VAN NUYS, CA
    ZIP 91406
  • Phone: (818) 386-8555

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NPI Details

SUPER PHARM 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. SUPER PHARM INC NPI is 1578908778. The provider is registered as an organization entity type.
The provider Is Doing Business As State Pharmacy.

The provider's business location address is:

15714 1/2 VANOWEN ST
VAN NUYS, CA
ZIP 91406-029
Phone: (818) 386-8555
Fax: (818) 387-6210

The provider's authorized official is Luiza Maloyan .
The authorized official title is President/owner and has the following contact phone number (818) 386-8555.

The enumeration date for this NPI number is 5/2/2013 and was last updated on 5/4/2017.

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
13336C0003XPharmacyCommunity/Retail PharmacyPHY55554CALIFORNIAYes

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
156-47423OTHERCALIFORNIANCPDP
2PHY55554OTHERCALIFORNIABOARD OF PHARMACY PERMIT
37026550001MEDICARE NSCCALIFORNIA

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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