Active NPI
Liana Gevorgyan
- Pharmacist
- La Canada, CA
National Provider Identifier
1154084036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85399
- Practice address
- 647 Foothill Blvd
La Canada, CA 91011-3403 - Phone
- (818) 790-5577
- NPI assigned
- Oct 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
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.
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- La Canada Flintridge, CA
- NPI 1528177078
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 85399 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
647 Foothill Blvd
La Canada, CA 91011-3403
Mailing address
6726 Sylmar Ave Apt 106
Van Nuys, CA 91405-5137
Phone (818) 517-4642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 18, 2021.
{
"created_epoch": "1634515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1154084036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6726 SYLMAR AVE APT 106",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914055137",
"telephone_number": "818-517-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "647 FOOTHILL BLVD",
"city": "LA CANADA",
"state": "CA",
"postal_code": "910113403",
"telephone_number": "818-790-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEVORGYAN",
"first_name": "LIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-18",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Canada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.