Active NPI
Sipan Keshishyan, RPH
- Pharmacist
- La Quinta, CA
National Provider Identifier
1083105431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 78211
- Practice address
- 44075 Jeffeson St
La Quinta, CA 92253 - Phone
- (760) 772-2969
- NPI assigned
- May 22, 2018
- Last updated
- May 22, 2018
- Sex
- Male
- 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 | 78211 | CA | Primary |
Addresses
Primary practice location
44075 Jeffeson St
La Quinta, CA 92253
Mailing address
7707 Bonner Ave
Sun Valley, CA 91352-4434
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmaprime LLC | Current | Accepting new patients |
Organizations & group practices 1
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": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1083105431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7707 BONNER AVE",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913524434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44075 JEFFESON ST",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "92253",
"telephone_number": "760-772-2969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESHISHYAN",
"first_name": "SIPAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-22",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "78211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Quinta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.