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Contact Information

SORTPAK RX, INC.
655 N CENTRAL AVE FL 22
GLENDALE, CA91203-1444
 Phone: 877-570-7787
 Fax: 877-475-2382
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SORTPAK RX, INC.

NPI Number 1063407252
LBN Legal business name SORTPAK RX, INC.
Authorized official RAYMOND SHIRVANYAN - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2005
Last updated 02/11/2026 - About 4 months ago
Identifiers
CA Other PHY59170 BOARD OF PHARMACY
CA Other 0524733 NABP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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