{"npi":"1275930638","type":"NPI-2","status":"active","name":{"display":"Triple S R Pharmacy INC","other":[],"organization_name":"TRIPLE S R PHARMACY INC","authorised_official":"Sarkis Jarakian"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"3336S0011X","description":"Specialty Pharmacy","primary":false,"state":"CA","license":"PHY55417"},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"CA","license":"PHY55417"}]},"addresses":[{"purpose":"LOCATION","street_1":"800 N BRAND BLVD STE 306","city":"GLENDALE","state":"CA","postal_code":"912034251","country_code":"US","phone":"8005575555","fax":"8005579095"},{"purpose":"MAILING","street_1":"1146 N CENTRAL AVE # 697","city":"GLENDALE","state":"CA","postal_code":"912022506","country_code":"US","phone":"8005575555","fax":"8005579095"}],"license":{"state":"CA","number":"PHY55417"},"identifiers":[{"type_code":"01","label":"Other","value":"61379","state":"CA","issuer":"BOP"},{"type_code":"01","label":"Other","value":"56-53515","state":"CA","issuer":"NCPDP"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20201029000570","type_code":"12-A5","type_desc":"PART B SUPPLIER - PHARMACY","state":"CA","pac_id":"7113337320"},{"enrlmt_id":"O20210215000289","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"CA","pac_id":"7113337320"},{"enrlmt_id":"O20210312001796","type_code":"12-69","type_desc":"PART B SUPPLIER - INDEPENDENT CLINICAL LABORATORY","state":"CA","pac_id":"7113337320"}]},"enumeration_date":"2014-12-01","last_updated":"2025-12-01","_meta":{"source":"NPPES","snapshot_date":"2025-12-01","doc_url":"https://findmynpi.com/api"}}