Individual provider Active NPI

Era Gyolchyan, PHARMACY TECHNICIAN

  • Pharmacy Technician
  • Van Nuys, CA
National Provider Identifier
1124475561
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
64739 Issued in CA
Practice address
14423 Gilmore St
Van Nuys, CA 91401-1430
Phone
(818) 786-2669
Fax
(818) 782-3100
NPI assigned
May 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 64739 CA Primary

Addresses

Primary practice location

14423 Gilmore St
Van Nuys, CA 91401-1430

Mailing address

14423 Gilmore St
Van Nuys, CA 91401-1430
Phone (818) 786-2669

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
Kovacs Pharmacy Inc Past Accepting new patients
Kovac'S Care RX Inc Past Accepting new patients

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": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1124475561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14423 GILMORE ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011430",
            "telephone_number": "818-786-2669",
            "fax_number": "818-782-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14423 GILMORE ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011430",
            "telephone_number": "818-786-2669",
            "fax_number": "818-782-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYOLCHYAN",
        "first_name": "ERA",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "64739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.