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PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA
NPI 1356962385
Pharmacy - Community/Retail Pharmacy in Tarzana, CA

Active since April 30, 2020
18370 BURBANK BLVD STE 104, TARZANA, CA 91356(818) 996-3600(818) 996-8630 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Health System-southern California NPPES

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

PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA (NPI 1356962385), doing business as Providence Tarzana Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Tarzana, California and active in the NPI registry since April 2020. The organization lists Donald Wayne Anderson, Assistant Secretary For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1356962385
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA
Location Address18370 BURBANK BLVD STE 104Tarzana, CA 91356-2804
Mailing AddressPo Box 3268Portland, OR 97208-3268
Phone(818) 996-3600
Fax(818) 996-8630
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary For Enrollment · (425) 525-5392
Enumeration DateApril 30, 2020
NPPES CertifiedApril 30, 2020
✔ NPI 1356962385 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.
18370 BURBANK BLVD STE 104, Tarzana, CA 91356
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Other Names 1

Doing Business AsProvidence Tarzana Pharmacy

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOHEIL ATTAR
Pharmacist
18370 BURBANK BLVD STE 104
TARZANA, CA 91356
Los Angeles County (818) 804-0126
CREDENA HEALTH LLC
Pharmacy (Community/Retail Pharmacy)
18370 BURBANK BLVD STE 104
TARZANA, CA 91356
Los Angeles County (818) 996-3600

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 Providence Health System-Southern California's NPI number?

The NPI number for Providence Health System-Southern California is 1356962385. It was assigned to this organization in the NPPES registry on April 30, 2020. The provider is doing business as Providence Tarzana Pharmacy.

Where is Providence Health System-Southern California located?

Providence Health System-Southern California is located at 18370 Burbank Blvd Ste 104, Tarzana, CA 91356. The listed phone number is (818) 996-3600.

What is Providence Health System-Southern California's specialty?

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

When was this NPI record last updated?

The NPPES record for Providence Health System-Southern California was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.