Individual provider Active NPI

Hasmik Rafaili Rubenyan

  • Pharmacist
  • West Hollywood, CA
National Provider Identifier
1285356501
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
81438 Issued in CA
Practice address
8607 Santa Monica Blvd
West Hollywood, CA 90069-4109
Phone
(310) 659-9810
NPI assigned
Sep 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22858 NV
Pharmacist 183500000X 81438 CA Primary

Addresses

Primary practice location

8607 Santa Monica Blvd
West Hollywood, CA 90069-4109

Mailing address

6522 Columbus Ave
Van Nuys, CA 91411-1404
Phone (323) 810-6053

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
81438CAMDPharmacist
22858NVMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Pharmacy LLC CurrentSince Sep 20, 2022 Accepting new patients
Procare Pharmacy, LLC. PastSince Sep 20, 2022 Accepting new patients

Locations

8607 Santa Monica Blvd
West Hollywood, CA 90069
Phone (310) 659-9810

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": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1285356501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6522 COLUMBUS AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111404",
            "telephone_number": "323-810-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694109",
            "telephone_number": "310-659-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENYAN",
        "first_name": "HASMIK",
        "middle_name": "RAFAILI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "22858",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "81438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.