Individual provider Active NPI

Varduhi Grigoryan

  • Pharmacist
  • Montrose, CA
National Provider Identifier
1225829732
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
81975 Issued in CA
Practice address
2210 Honolulu Ave
Montrose, CA 91020-1617
Phone
(747) 255-7040
NPI assigned
May 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 81975 CA Primary

Addresses

Primary practice location

2210 Honolulu Ave
Montrose, CA 91020-1617

Mailing address

2210 Honolulu Ave
Montrose, CA 91020-1617

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

LicenseStateTypeSpecialty
81975CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Pharmacy Inc CurrentSince May 18, 2025 Accepting new patients
Sky Pharmacy Inc CurrentSince May 18, 2025 Accepting new patients

Locations

2210 Honolulu Ave
Montrose, CA 91020
Phone (747) 255-7040

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": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1225829732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 HONOLULU AVE",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 HONOLULU AVE",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201617",
            "telephone_number": "747-255-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGORYAN",
        "first_name": "VARDUHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "81975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.