Diana Isabella Prepelitsky, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

76338 Issued in CA

Practice address

2000 Avenue of the Stars
Los Angeles, CA 90067

Phone

(310) 277-6123

NPI assigned

Apr 25, 2017

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Mickey Fine Enterprises Inc

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1922343482
  NPD (past)

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1316472558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 AVENUE OF THE STARS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900674700",
            "telephone_number": "310-277-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 AVENUE OF THE STARS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90067",
            "telephone_number": "310-277-6123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1433 Glendale Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900262428",
            "country_code": "US",
            "telephone_number": "213-483-8450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREPELITSKY",
        "first_name": "DIANA",
        "middle_name": "ISABELLA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "76338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alykhan Moez Premji, MD
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• Prenatal Clinic Jonathn Azizzadeh, MD Inc
• Carter Michael Prentice, MD
• Alexander A Prentiss
• Yisachar Dov Prero, DDS
• Aracely V Prescott
• Justin Prescott
• Megan Prescott, RN
• Prescribed Essence Inc

• Pharmacist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.