Individual provider Active NPI

Lili Gevorkian, PHARD

  • Pharmacotherapy Pharmacist
  • Glendale, CA
National Provider Identifier
1114461720
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
76090 Issued in CA
Practice address
2410 E Chevy Chase Dr
Glendale, CA 91206-1812
Phone
(818) 416-9966
NPI assigned
Dec 15, 2016
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 76090 CA Primary

Addresses

Primary practice location

2410 E Chevy Chase Dr
Glendale, CA 91206-1812

Mailing address

2410 E Chevy Chase Dr
Glendale, CA 91206-1812
Phone (818) 240-4020

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL unicarepharmacy@yahoo.com

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

State licenses

LicenseStateTypeSpecialty
76090CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unicare Pharmacy & Supply Inc Current Accepting new patients
Unicare Pharmacy & Supply Inc Current Accepting new patients

Locations

301 S Fair Oaks Ave
Ste 104
Pasadena, CA 91105
Phone (626) 793-7771

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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1114461720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 E CHEVY CHASE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912061812",
            "telephone_number": "818-240-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 E CHEVY CHASE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912061812",
            "telephone_number": "818-416-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEVORKIAN",
        "first_name": "LILI",
        "credential": "PHARD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "76090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unicarepharmacy@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "pharmacy",
            "address_1": "301 s fair oaks ave #104",
            "city": "pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "91105",
            "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 Nov 7, 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.