NPIMap

Individual provider Active NPI

Kristine Panosyan

  • Pharmacist
  • Burbank, CA
National Provider Identifier
1053074518
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
85436 Issued in CA
Practice address
823 E Tujunga Ave
Burbank, CA 91501-1433
Phone
(818) 404-2004
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 85436 CA Primary

Addresses

Primary practice location

823 E Tujunga Ave
Burbank, CA 91501-1433

Mailing address

7239 Woodman Ave
Van Nuys, CA 91405-2621
Phone (818) 781-7127

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

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Community Pharmacy Inc Current Accepting new patients
Victory Community Pharmacy Inc Current Accepting new patients
Thrifty Payless Inc PastSince Oct 24, 2021 Accepting new patients
Thrifty Payless Inc PastSince Oct 24, 2021 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1053074518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7239 WOODMAN AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052621",
            "telephone_number": "818-781-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 E TUJUNGA AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915011433",
            "telephone_number": "818-404-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOSYAN",
        "first_name": "KRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "85436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.