Provider Demographics
NPI:1437160926
Name:KARE FOODS INC
Entity Type:Organization
Organization Name:KARE FOODS INC
Other - Org Name:STUDIO PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:MR
Authorized Official - First Name:VARTAN
Authorized Official - Middle Name:V
Authorized Official - Last Name:TABAKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-506-0776
Mailing Address - Street 1:11309 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-3188
Mailing Address - Country:US
Mailing Address - Phone:818-506-0776
Mailing Address - Fax:818-506-9055
Practice Address - Street 1:11309 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-3188
Practice Address - Country:US
Practice Address - Phone:818-506-0776
Practice Address - Fax:818-506-9055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 332BP3500X
CAPHY 51656333600000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA462720Medicaid
CAPHY 51656OtherCALIFORNIA STATE BOARD OF PHARMACY PERMIT
CA1437160926OtherMEDI-CAL PROVIDER
1998962OtherPK
CAPHY 51656OtherCALIFORNIA STATE BOARD OF PHARMACY PERMIT