Active NPI
Lara Yergatian
- Pharmacist
- Roseville, CA
National Provider Identifier
1427469337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50918
- Practice address
- 4008 Foothills Blvd
Roseville, CA 95747-7233 - Phone
- (916) 783-1174
- Fax
- (916) 783-5318
- NPI assigned
- May 13, 2014
- Sex
- Female
- 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 | 50918 | CA | Primary |
Addresses
Primary practice location
4008 Foothills Blvd
Roseville, CA 95747-7233
Mailing address
4008 Foothills Blvd
Roseville, CA 95747-7233
Phone (916) 783-1174
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50918 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bel Air Market Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Yuba City, CA
- NPI 1053421719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1427469337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4008 FOOTHILLS BLVD",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957477233",
"telephone_number": "916-783-1174",
"fax_number": "916-783-5318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4008 FOOTHILLS BLVD",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957477233",
"telephone_number": "916-783-1174",
"fax_number": "916-783-5318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YERGATIAN",
"first_name": "LARA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-13",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "50918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.