Active NPI
Marie Keosseian
- Pharmacist
- Van Nuys, CA
National Provider Identifier
1164115572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45971
- Practice address
- 7555 Van Nuys Blvd
Van Nuys, CA 91405-1949 - Phone
- (818) 904-5500
- Fax
- (818) 376-8431
- NPI assigned
- May 31, 2023
- Last updated
- May 31, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11205 | NV | |
| Pharmacist | 183500000X | 45971 | CA | Primary |
Addresses
Primary practice location
7555 Van Nuys Blvd
Van Nuys, CA 91405-1949
Mailing address
PO Box 4834
Glendale, CA 91222-4834
Phone (818) 599-9345
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45971 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1164115572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4834",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912224834",
"telephone_number": "818-599-9345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7555 VAN NUYS BLVD",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914051949",
"telephone_number": "818-904-5500",
"fax_number": "818-376-8431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEOSSEIAN",
"first_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-31",
"last_updated": "2023-05-31",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "11205",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "45971",
"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 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.