Individual provider Active NPI

Edvard Arutyunyan, PHARMD

  • Pharmacist
  • Glendale, CA
National Provider Identifier
1316459902
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
58864 Issued in CA
Practice address
1217 N Central Ave Ste Aa
Glendale, CA 91202-3160
Phone
(818) 696-2099
NPI assigned
Nov 3, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 58864 CA Primary

Addresses

Primary practice location

1217 N Central Ave Ste Aa
Glendale, CA 91202-3160

Mailing address

1217 N Central Ave Ste Aa
Glendale, CA 91202-3160
Phone (818) 696-2099

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

State licenses

LicenseStateTypeSpecialty
58864CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Westco Drugs Inc CurrentSince Oct 20, 2019 Accepting new patients
Westco Drugs Inc CurrentSince Jun 23, 2024 Accepting new patients

Locations

1217 N Central Ave
Ste Aa
Glendale, CA 91202
Phone (818) 696-2099

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": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1316459902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 N CENTRAL AVE STE AA",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023160",
            "telephone_number": "818-696-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 N CENTRAL AVE STE AA",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023160",
            "telephone_number": "818-696-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARUTYUNYAN",
        "first_name": "EDVARD",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "58864",
            "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 Nov 3, 2017; 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.