Active NPI
Christine Amanda Gedjeyan, PHARMD
- Pharmacist
- Glendale, CA
National Provider Identifier
1124662473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79233
- Practice address
- 721 E Broadway Ste 101
Glendale, CA 91205-4951 - Phone
- (818) 396-4818
- Fax
- (818) 396-4816
- NPI assigned
- Oct 30, 2019
- Last updated
- Apr 15, 2020
- Sex
- Female
- 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 | 79233 | CA | Primary |
Addresses
Primary practice location
721 E Broadway Ste 101
Glendale, CA 91205-4951
Mailing address
7712 Via Napoli
Burbank, CA 91504-1703
Phone (818) 939-8373
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 |
|---|---|---|---|
| 79233 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympic Community Pharmacy Inc | Current | Accepting new patients |
Locations
721 E Broadway
Ste 101
Glendale, CA 91205
Phone (818) 396-4818
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Beverly Hills, CA
- NPI 1689206047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1124662473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7712 VIA NAPOLI",
"city": "BURBANK",
"state": "CA",
"postal_code": "915041703",
"telephone_number": "818-939-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 E BROADWAY STE 101",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912054951",
"telephone_number": "818-396-4818",
"fax_number": "818-396-4816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEDJEYAN",
"first_name": "CHRISTINE",
"middle_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.