Im Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Burbank, CA. Organization (NPI-2).
Details
- NPI
- 1528298064
- Entity type
- Organization (NPI-2)
- Legal business name
- Im Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2009
- Last updated
- Dec 14, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY51128 | CA | Yes |
| 333600000X | Pharmacy | PHY51128 | CA |
Other names
- Kd Pharmacy (Doing Business As)
Practice location
10970 Sherman Way Ste 110Burbank, CA 91505-1003
Phone 818-847-8600 · Fax 818-847-8698
Mailing address
10970 Sherman WaySuite 110
Burbank, CA 91505-1002
Phone 818-847-8600 · Fax 818-847-8698
Authorized official
Igor Martinov
President/Pic
8183354000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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