1295323947 NPI number — AYDEN & KENNY PHARMACY,INC

Table of content: (NPI 1295323947)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295323947 NPI number — AYDEN & KENNY PHARMACY,INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AYDEN & KENNY PHARMACY,INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295323947
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/19/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7221 RESEDA BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RESEDA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91335-3046
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-660-0382
Provider Business Mailing Address Fax Number:
818-600-8697

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7221 RESEDA BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RESEDA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91335-3046
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-660-0382
Provider Business Practice Location Address Fax Number:
818-600-8697
Provider Enumeration Date:
01/07/2021

Additional Information

Authorized Official

Authorized Official Last Name:
NGUYEN
Authorized Official First Name:
ANDREW
Authorized Official Middle Name:
HOAI
Authorized Official Title or Position:
PRESIDENT/CEO/CFO/DIRECTOR
Authorized Official Telephone Number:
818-660-0382

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PHY58051 . This is a "BOARD OF PHARMACY" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com