Active NPI
Missak Assadourian, PHARM. D.
- Pharmacist
- La Crescenta, CA
National Provider Identifier
1437434883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56154
- Practice address
- 3001 Foothill Blvd
La Crescenta, CA 91214-2714 - Phone
- (818) 541-7840
- NPI assigned
- Oct 17, 2011
- Last updated
- Oct 17, 2011
- 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 | 56154 | CA | Primary |
Addresses
Primary practice location
3001 Foothill Blvd
La Crescenta, CA 91214-2714
Mailing address
3547 Mevel PL
La Crescenta, CA 91214-1143
Phone (818) 389-5830
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1437434883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3547 MEVEL PL",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912141143",
"telephone_number": "818-389-5830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 FOOTHILL BLVD",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912142714",
"telephone_number": "818-541-7840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASSADOURIAN",
"first_name": "MISSAK",
"name_prefix": "Mr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "56154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Crescenta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.