Organization
ROUTE 66 PHARMACY
Active
Organization
ROUTE 66 PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMVEL KHACHATRYAN (PRESIDENT/CEO)
(760) 800-0107
Entity
Organization
Contact information
Practice address
821 W BROADWAY ST, NEEDLES, CA 92363-2701
(760) 800-0108
(760) 800-0107
Mailing address
821 W BROADWAY ST, NEEDLES, CA 92363-2701
(760) 800-0107
(760) 800-0108
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY60501
BOARD OF PHARMACY
CA
Enumeration date
01/09/2025
Last updated
04/30/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up