# ELITEMED, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDBRIDGE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063283893
- **Authorized official:** ADRINEH KESHISH PHARM D (PRESIDENT/CEO)
- **Authorized official phone:** (747) 600-9555

## Contact information

- **Practice address:** 10515 BALBOA BLVD STE 125, GRANADA HILLS, CA 91344-6354
- **Practice address phone:** (747) 600-9555
- **Practice address fax:** (747) 600-8866
- **Mailing address:** 10515 BALBOA BLVD STE 125, GRANADA HILLS, CA 91344-6354
- **Mailing address phone:** (747) 600-9555
- **Mailing address fax:** (747) 600-8866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/10/2024
- **Last updated:** 01/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PHY59196 | BOARD OF PHARMACY | CA |