Individual provider Active NPI

Arthur Avetisyan, PHARMD

  • Pharmacist
  • Glendale, CA
National Provider Identifier
1154027357
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
75545 Issued in CA
Practice address
501 Western Ave
Glendale, CA 91201-2870
Phone
(818) 242-5887
Fax
(818) 507-6324
NPI assigned
Jan 31, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 75545 CA Primary

Addresses

Primary practice location

501 Western Ave
Glendale, CA 91201-2870

Mailing address

501 Western Ave
Glendale, CA 91201-2870
Phone (818) 808-6855

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synapse Therapeutics Inc CurrentSince Dec 21, 2025 Accepting new patients
Synapse Therapeutics Inc CurrentSince Dec 21, 2025 Accepting new patients

Locations

3604 San Fernando Rd
Glendale, CA 91204
Phone (818) 956-2104

501 Western Ave
Glendale, CA 91201
Phone (818) 242-5887

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": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1154027357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WESTERN AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012870",
            "telephone_number": "818-808-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WESTERN AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012870",
            "telephone_number": "818-242-5887",
            "fax_number": "818-507-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVETISYAN",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "75545",
            "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 Dec 17, 2025; 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.