Individual provider Active NPI

Sarkis Jarakian, PHARMD

  • Pharmacist
  • Glendale, CA
National Provider Identifier
1447922679
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
59645 Issued in CA
Practice address
330 N Brand Blvd Ste 155
Glendale, CA 91203-2324
Phone
(800) 557-5555
Fax
(800) 557-9095
NPI assigned
Oct 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 59645 CA Primary

Addresses

Primary practice location

330 N Brand Blvd Ste 155
Glendale, CA 91203-2324

Mailing address

330 N Brand Blvd Ste 155
Glendale, CA 91203-2324
Phone (800) 557-5555

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

LicenseStateTypeSpecialty
59645CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Triple S R Pharmacy Inc CurrentSince Oct 10, 2021 Accepting new patients
Triple S R Pharmacy Inc CurrentSince Oct 10, 2021 Accepting new patients

Locations

330 N Brand Blvd
Ste 155
Glendale, CA 91203
Phone (800) 557-5555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1447922679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N BRAND BLVD STE 155",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032324",
            "telephone_number": "800-557-5555",
            "fax_number": "800-557-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N BRAND BLVD STE 155",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032324",
            "telephone_number": "800-557-5555",
            "fax_number": "800-557-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAKIAN",
        "first_name": "SARKIS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "59645",
            "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 Oct 5, 2021; 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.