PACIFIC MEDICAL PHARMACY 3
NPI 1184387615
Pharmacy - Community/Retail Pharmacy in Tujunga, CA

Active since October 21, 2021CLIA 05D2276195 · Waiver
6624 FOOTHILL BLVD, TUJUNGA, CA 91042(818) 875-4053(818) 875-4063 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 24, 2022, Oct 21, 2021 (2 updates tracked since 2021).

About Pacific Medical Pharmacy 3 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC MEDICAL PHARMACY 3 (NPI 1184387615) is a healthcare organization registered as a community/retail pharmacy in Tujunga, California and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Arthur Karo Hagopian, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1184387615
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGRAND POLITE INC.
Location Address6624 FOOTHILL BLVDTujunga, CA 91042
Mailing Address6624 Foothill BlvdTujunga, CA 91042 · (818) 875-4053 · Fax (818) 875-4063
Fax(818) 875-4063
Organization SubpartNo
Authorized OfficialArthur Karo HagopianPharmacist · (818) 624-5010
Enumeration DateOctober 21, 2021
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
NPI 1184387615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

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.

6624 FOOTHILL BLVD, Tujunga, CA 91042

Other Names 2

Doing Business AsPacific Medical Pharmacy 3
Doing Business AsPacific Medical Phamrcy

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2276195

Pacific Medical Pharmacy #3 · Tujunga, CA
Active · expires Feb 2, 2027
CLIA Number05D2276195
Laboratory TypePharmacy
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorArthur K. Hagopian
Laboratory Phone(818) 875-4053
Laboratory LocationPacific Medical Pharmacy #36624 Foothill Blvd, Tujunga, CA 91042
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Pacific Medical Pharmacy 3 carries, from the Medicare DMEPOS supplier directory.

Pacific Medical Pharmacy 3

DMEPOS supplier · Tujunga, CAOperated by Grand Polite Inc

Accepts Medicare assignment

Pacific Medical Pharmacy 3 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20347847
Medicare Participant SinceAugust 25, 2022
Supplier Location6624 Foothill BlvdTujunga, CA 91042
Supplier Specialties
Pharmacy

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Polite Inc.'s NPI number?

The NPI number for Grand Polite Inc. is 1184387615. It was assigned to this organization in the NPPES registry on October 21, 2021. The provider is doing business as Pacific Medical Pharmacy 3 and pacific medical phamrcy.

Where is Grand Polite Inc. located?

Grand Polite Inc. is located at 6624 Foothill Blvd, Tujunga, CA 91042. The listed phone number is (818) 875-4053.

What is Grand Polite Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Grand Polite Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Pacific Medical Pharmacy 3 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Grand Polite Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2276195) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grand Polite Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 45 other insurers list Grand Polite Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grand Polite Inc. was last updated on August 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.