Organization Active NPI

Costco

  • Pharmacist
  • Burbank, CA
National Provider Identifier
1437552353
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
69380 Issued in CA
Legal business name
COSTCO
Practice address
1051 W Burbank Blvd
Burbank, CA 91506-1421
Phone
(818) 557-3782
NPI assigned
Oct 6, 2014
Last updated
Oct 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Dr. Izabella Abramyan, PHARMD
Title
Pharmacist
Phone
(818) 281-4483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 69380 CA Primary

Addresses

Primary practice location

1051 W Burbank Blvd
Burbank, CA 91506-1421

Mailing address

6553 Babcock Ave
Valley Glen, CA 91606-2308
Phone (818) 281-4483

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1437552353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6553 BABCOCK AVE",
            "city": "VALLEY GLEN",
            "state": "CA",
            "postal_code": "916062308",
            "telephone_number": "818-281-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061421",
            "telephone_number": "818-557-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "ABRAMYAN",
        "authorized_official_first_name": "IZABELLA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "818-281-4483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "69380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.