Active NPI
Ryan Yeghoian, PHARMD
- Pharmacist
- Glendale, CA
National Provider Identifier
1053068460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85737
- Practice address
- 1851 Flower St
Glendale, CA 91201-2024 - Phone
- (747) 286-2141
- NPI assigned
- Mar 5, 2022
- Last updated
- Mar 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 85737 | CA | Primary |
Addresses
Primary practice location
1851 Flower St
Glendale, CA 91201-2024
Mailing address
10160 Eldora Ave
Sunland, CA 91040-3217
Phone (818) 471-9103
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85737 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accumed Inc | Current | Accepting new patients | |
| Accumed Inc | Current | Accepting new patients |
Locations
1851 Flower St
Glendale, CA 91201
Phone (747) 286-2141
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646438400000",
"number": "1053068460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10160 ELDORA AVE",
"city": "SUNLAND",
"state": "CA",
"postal_code": "910403217",
"telephone_number": "818-471-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 FLOWER ST",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912012024",
"telephone_number": "747-286-2141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEGHOIAN",
"first_name": "RYAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-05",
"last_updated": "2022-03-05",
"certification_date": "2022-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85737",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "1851 Flower St",
"city": "Glendale",
"state": "CA",
"country_code": "US",
"postal_code": "912012024",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.