Active NPI
Arutyun Bagdatyan, PHARM.D.
- Pharmacist
- North Hollywood, CA
National Provider Identifier
1326792102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72602
- Practice address
- 12914B Sherman Way
North Hollywood, CA 91605-4953 - Phone
- (818) 358-4300
- Fax
- (818) 358-4399
- NPI assigned
- Feb 9, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 72602 | CA | Primary |
Addresses
Primary practice location
12914B Sherman Way
North Hollywood, CA 91605-4953
Mailing address
6740 Matilija Ave
Van Nuys, CA 91405-4800
Phone (818) 987-9666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72602 | Other | CA | CALIFORNIA PHARMACY BOARD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 72602 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1326792102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6740 MATILIJA AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054800",
"telephone_number": "818-987-9666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12914B SHERMAN WAY",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916054953",
"telephone_number": "818-358-4300",
"fax_number": "818-358-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGDATYAN",
"first_name": "ARUTYUN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-09",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "72602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA PHARMACY BOARD",
"identifier": "72602",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.