Liliya Borichevskiy
Individual provider Active NPI Pharmacist · Orangevale, CA
NPI 1174931489 · NPPES record last updated Jul 30, 2014
Key facts
- NPI
- 1174931489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 69598 (CA)
- Practice address
- 8961 Greenback LN
Orangevale, CA 95662-4601 - Phone
- (916) 989-9380
- NPI assigned
- Jul 30, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69598 | CA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 69598 | CA | Yes |
Addresses
Primary practice location
8961 Greenback LN
Orangevale, CA 95662-4601
Mailing address
8961 Greenback LN
Orangevale, CA 95662-4601
Phone (916) 873-4450
Other providers in Orangevale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.