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.
Organization
MED DEPOT, INC
Active
Organization
MED DEPOT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA LYUBEZHANIN (COO)
(818) 627-7515
Entity
Organization
Contact information
Practice address
410 N VARNEY ST, BURBANK, CA 91502-1732
(818) 627-7515
(818) 627-7512
Mailing address
410 N VARNEY ST, BURBANK, CA 91502-1732
(818) 627-7515
(818) 627-7512
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
3336M0003X
Managed Care Organization Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
12/02/2025
Last updated
08/03/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers