Provider Demographics
NPI:1619158326
Name:ATO PHARMACY INC
Entity Type:Organization
Organization Name:ATO PHARMACY INC
Other - Org Name:THE BEST PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:TYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-558-7895
Mailing Address - Street 1:401 S GLENOAKS BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1448
Mailing Address - Country:US
Mailing Address - Phone:818-558-7895
Mailing Address - Fax:818-558-7897
Practice Address - Street 1:401 S GLENOAKS BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1448
Practice Address - Country:US
Practice Address - Phone:818-558-7895
Practice Address - Fax:818-558-7897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-21
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
CAPHY502023336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5628702OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1259670001Medicare NSC