Active NPI
Marjan Nikka Yermian, PHARM.D.
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1093909178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 54908
- Practice address
- 10569 W Pico Blvd
Los Angeles, CA 90064-2333 - Phone
- (310) 475-3541
- Fax
- (310) 474-3323
- NPI assigned
- Aug 30, 2007
- Sex
- Female
- 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 | RPH 54908 | CA | Primary |
Addresses
Primary practice location
10569 W Pico Blvd
Los Angeles, CA 90064-2333
Mailing address
10569 W Pico Blvd
Los Angeles, CA 90064-2333
Phone (310) 475-3541
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 |
|---|---|---|---|
| RPH 54908 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1093909178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10569 W PICO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900642333",
"telephone_number": "310-475-3541",
"fax_number": "310-474-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10569 W PICO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900642333",
"telephone_number": "310-475-3541",
"fax_number": "310-474-3323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YERMIAN",
"first_name": "MARJAN",
"middle_name": "NIKKA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-30",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 54908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.