Active NPI
Elizabeth Khatchaturian, PHARM D
- Pharmacist
- Glendale, CA
National Provider Identifier
1306335104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54871
- Practice address
- 1808 Verdugo Blvd Ste 111
Glendale, CA 91208-1449 - Phone
- (818) 952-2223
- NPI assigned
- May 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 54871 | CA | Primary |
Addresses
Primary practice location
1808 Verdugo Blvd Ste 111
Glendale, CA 91208-1449
Mailing address
1808 Verdugo Blvd Ste 111
Glendale, CA 91208-1449
Phone (818) 952-2223
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
- Credentials
- Doctor of Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525651200000",
"number": "1306335104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 VERDUGO BLVD STE 111",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081449",
"telephone_number": "818-952-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 VERDUGO BLVD STE 111",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081449",
"telephone_number": "818-952-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHATCHATURIAN",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-07",
"last_updated": "2018-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "54871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.