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STAR PHARMACY NPI 1669419917


NPI Information

NPI: 1669419917
Provider Name: STAR PHARMACY
Classification: Durable Medical Equipment & Medical Supplies - 332BN1400X
Entity Type: Organization

Specialization: Nursing Facility Supplies

Address:
14400 VANOWEN ST
VAN NUYS, CA
ZIP 91405
Phone: (818) 304-0881
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STAR PHARMACY is a nursing facility supplies durable medical equipment medical supplies in Van Nuys, CA. STAR PHARMACY NPI is 1669419917. The provider is registered as an organization entity type.

The provider's business location address is:

14400 VANOWEN ST
VAN NUYS, CA
ZIP 91405-037
Phone: (818) 304-0881
Fax: (818) 304-0882

The provider's authorized official is Anthony A Luskin .
The authorized official title is President and has the following contact phone number (818) 304-0881.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility SuppliesPHY42197CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHAY21970MEDICAIDCALIFORNIA

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: 11/14/2023

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