Fortiva Pharmacy Inc
LBN: Fortiva Pharmacy Inc
Fortiva Pharmacy Inc is an health care organization with primary practice located at 19562 Ventura Blvd Suite 226 , Tarzana CA 91356-2917. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Fortiva Pharmacy Inc can be contacted via phone (818) 757-8977, or through Zouen, Magdy via phone (818) 757-8977.
Contact Information
Primary practice address
19562 Ventura Blvd Suite 226
Tarzana CA 91356-2917
Phone: (818) 757-8977
Fax: (818) 757-8979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 55709 | California |
Profile Details
| NPI number | 1871594473 |
|---|---|
| LBN Legal business name | Fortiva Pharmacy Inc |
| DBA Doing business as | |
| Authorized official | Zouen, Magdy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Aug 17th, 2026 - about 2 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871594473 | NPPES |
| California | Other | 0520874 | NCPDP |
| California | MEDICAID | 1871594473 | NCPDP |
| California | Other | 2134708 | NCPDP |
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