Mina Kolta, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

62002 Issued in CA

Practice address

10945 Victory Blvd
North Hollywood, CA 91606-3717

Phone

(818) 487-0119

NPI assigned

Jan 21, 2021

Last updated

Jan 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Registered Pharmacist

Practice roles

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.

• Garfield Beach CVS LLC

  dba CVS Pharmacy 04789

  • Pharmacy
  • North Hollywood, CA
  • NPI 1801994397
  NPD (past)
• Garfield Beach CVS, L.L.C.

  dba CVS Pharmacy #17914

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1205426475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10153 1/2 RIVERSIDE DR # 502",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063717",
            "telephone_number": "818-487-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLTA",
        "first_name": "MINA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "62002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Kochenderfer, MA, OTRL
• Leon Kodabakshian
• Avedis Kojayan
• Vartoohi Kokanian
• Ani Kolangian, PHARMD
• Joyce Kong
• Philip Ling-Fat Kong, PHARMD
• Arie Koren, RPT
• Ronald David Korn, MFT
• Michael M Koshak, MD

• Pharmacist in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.