101 PHARMACY – NPI #1689224545
Pharmacy

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.

Health Care Provider Taxonomy Code for Pharmacy

101 PHARMACY is a pharmacy located in VALLEY VILLAGE, CA. NPPES has assigned the NPI number 1689224545 to 101 PHARMACY on September 12, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “101 PHARMACY” is a dba name, the actual legal business name for this organization is CANYON RX INC. The primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 5 years ago on Feb 15, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 101 PHARMACY below.

NPI Profile for
CANYON RX INC

NPI Number
1689224545
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CANYON RX INC
Doing Business As (dba): 101 PHARMACY
Primary location
12117 MAGNOLIA BLVD
VALLEY VILLAGE, CA 91607
Phone: (818) 927-4249 Fax: (818) 927-4215
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ERRY ASTOURIAN
CEO
Phone: (818) 395-5509
Updated
Certification Date
Feb 15, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.