Active NPI
Gaspar Melikyan, PHARM.D.
- Pharmacist
- Van Nuys, CA
National Provider Identifier
1124596424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79369
- Practice address
- 15714 1/2 Vanowen St
Van Nuys, CA 91406-5029 - Phone
- (818) 386-8555
- NPI assigned
- Nov 5, 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 | 79369 | CA | Primary |
Addresses
Primary practice location
15714 1/2 Vanowen St
Van Nuys, CA 91406-5029
Mailing address
4958 Riverton Ave Apt 5
North Hollywood, CA 91601-4644
Phone (818) 272-5782
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 |
|---|---|---|---|
| 79369 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Super Pharm Inc | Past | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Van Nuys, CA
- NPI 1578908778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1124596424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4958 RIVERTON AVE APT 5",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916014644",
"telephone_number": "818-272-5782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15714 1/2 VANOWEN ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914065029",
"telephone_number": "818-386-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELIKYAN",
"first_name": "GASPAR",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-05",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79369",
"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 Nov 5, 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.