Active NPI
Madlen Basilyan, RPH
- Pharmacist
- Tujunga, CA
National Provider Identifier
1003448796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56808
- Practice address
- 7057 Foothill Blvd
Tujunga, CA 91042-2714 - Phone
- (818) 875-4158
- Fax
- (818) 875-4159
- NPI assigned
- Feb 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 56808 | CA | Primary |
Addresses
Primary practice location
7057 Foothill Blvd
Tujunga, CA 91042-2714
Mailing address
7057 Foothill Blvd
Tujunga, CA 91042-2714
Phone (818) 875-4158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56808 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace RX Pharmacy Inc | Current | Accepting new patients | |
| Grace RX Pharmacy Inc | Current | Accepting new patients | |
| Sherman Oaks Pharmacy | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Pasadena, CA
- NPI 1295083764
-
- Long Term Care Pharmacy
- Pasadena, CA
- NPI 1730919754
-
- Community/Retail Pharmacy
- Sherman Oaks, CA
- NPI 1750913448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1003448796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7057 FOOTHILL BLVD",
"city": "TUJUNGA",
"state": "CA",
"postal_code": "910422714",
"telephone_number": "818-875-4158",
"fax_number": "818-875-4159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7057 FOOTHILL BLVD",
"city": "TUJUNGA",
"state": "CA",
"postal_code": "910422714",
"telephone_number": "818-875-4158",
"fax_number": "818-875-4159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASILYAN",
"first_name": "MADLEN",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "56808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tujunga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.