Individual provider Active NPI

Jacqueline Valdez-Bedikian, PHARM D.

  • Pharmacist
  • Glendale, CA
National Provider Identifier
1093447419
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
43435 Issued in CA
Practice address
501 Western Ave
Glendale, CA 91201-2870
Phone
(818) 242-5887
NPI assigned
Jun 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 43435 CA Primary

Addresses

Primary practice location

501 Western Ave
Glendale, CA 91201-2870

Mailing address

1344 Rossmoyne Ave
Glendale, CA 91207-1853
Phone (818) 425-2585

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Glendale

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

LicenseStateTypeSpecialty
43435CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synapse Therapeutics Inc CurrentSince Dec 31, 2023 Accepting new patients
Synapse Therapeutics Inc CurrentSince Oct 15, 2023 Accepting new patients

Locations

501 Western Ave
Glendale, CA 91201
Phone (818) 242-5887

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1093447419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 ROSSMOYNE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071853",
            "telephone_number": "818-425-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WESTERN AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012870",
            "telephone_number": "818-242-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ-BEDIKIAN",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "43435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Glendale",
            "affiliation": "N",
            "address_1": "501 Western Ave",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912012870",
            "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 Jun 24, 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.

Verify at the official NPI Registry.