Sevan Pharmacy LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

CF0005849 Issued in WA

Legal business name

SEVAN PHARMACY LLC

Practice address

620 SE Everett Mall Way
Suite 210
Everett, WA 98208-3278

Phone

(425) 348-5353

Fax

(425) 348-0535

NPI assigned

Jul 26, 2005

Organization subpart

No

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

Authorized official

Name

Edik Will Saroyan

Title

Owner

Phone

(425) 348-5353

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1356341978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SE EVERETT MALL WAY",
            "address_2": "SUITE 210",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083278",
            "telephone_number": "425-348-5353",
            "fax_number": "425-348-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SE EVERETT MALL WAY",
            "address_2": "SUITE 210",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083278",
            "telephone_number": "425-348-5353",
            "fax_number": "425-348-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVAN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "SAROYAN",
        "authorized_official_first_name": "EDIK",
        "authorized_official_middle_name": "WILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-348-5353"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "CF0005849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6027833",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fernanda Lizeth Serra, MSW, LSWAIC, MHP
• Service Alternatives, Inc.
• Konstantin Setiaev, BA
• Dorothy Seto
• Erica Kalyan Seu, PHARMD
• Rachel Elizabeth Seward
• William Justin Sewell
• Mahdiesadat Seyed-Aliroteh, M.D., PH.D.
• Shaaden Shadman, PA-C
• Angela Ranae Shadrick, RN

• Pharmacist in Everett, WA
• Providers in Everett, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.