Supreme Care Pharmacy, Inc.
NPI 1417322736 · Community/Retail Pharmacy · North Hollywood, CA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Supreme Care Pharmacy, Inc. is a Community/Retail Pharmacy organization in North Hollywood, CA (NPI 1417322736).
Provider details
- NPI number
- 1417322736
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gevorg Grigoryan, President/Owner(818) 763-7007
- License
- PHY 53878 (CA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Supreme Care Pharmacy
- Doing business as
- Supreme Care Pharmacy
Registry dates
- Enumerated
- 2015-12-11
- Last updated
- 2025-11-04
- Certified
- 2025-11-04
Frequently asked questions
- What is Supreme Care Pharmacy, Inc.'s NPI number?
- Supreme Care Pharmacy, Inc.'s National Provider Identifier (NPI) is 1417322736, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supreme Care Pharmacy, Inc.?
- Supreme Care Pharmacy, Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Supreme Care Pharmacy, Inc. located?
- Supreme Care Pharmacy, Inc.'s practice location on file with NPPES is 6007 Lankershim Blvd, North Hollywood, CA 91606-4883.
- What is Supreme Care Pharmacy, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Supreme Care Pharmacy, Inc. is (818) 763-7007.
- Does Supreme Care Pharmacy, Inc. accept Medicare?
- Supreme Care Pharmacy, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Supreme Care Pharmacy, Inc.?
- The authorized official listed on Supreme Care Pharmacy, Inc.'s NPPES record is Gevorg Grigoryan, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supreme Care Pharmacy, Inc.'s NPI active?
- Yes — Supreme Care Pharmacy, Inc.'s NPI (1417322736) is active in the NPPES registry as of the last update on 2025-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.