Active NPI
Ayk Dzhragatspanyan, PHARMD
- Pharmacist
- Glendale, CA
National Provider Identifier
1356884811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54710
- Practice address
- 1111 N Brand Blvd Ste M
Glendale, CA 91202-3023 - Phone
- (818) 419-2514
- NPI assigned
- Nov 30, 2016
- Last updated
- Nov 30, 2016
- Sex
- Male
- 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 | 54710 | CA | Primary |
Addresses
Primary practice location
1111 N Brand Blvd Ste M
Glendale, CA 91202-3023
Mailing address
16662 Pineridge Dr
Granada Hills, CA 91344-1848
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 |
|---|---|---|---|
| 54710 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Ike, Inc. | Current | Accepting new patients | |
| Dr Ike Inc | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1356884811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16662 PINERIDGE DR",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913441848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N BRAND BLVD STE M",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912023023",
"telephone_number": "818-419-2514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DZHRAGATSPANYAN",
"first_name": "AYK",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-30",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "54710",
"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 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.