Vladimir Andrey Kiyanitsa, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

60762 Issued in CA

Practice address

1841 W Avenue I
Suite 107
Lancaster, CA 93534-1471

Phone

(661) 948-1818

Fax

(661) 948-1919

NPI assigned

Jan 18, 2011

Last updated

Dec 4, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Lancaster Pharmacy

  • Community/Retail Pharmacy
  • Mojave, CA
  • NPI 1104232826
  NPD (past)

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1467757740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15543 LIVE OAK SPRINGS CANYON RD",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913874721",
            "telephone_number": "207-409-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 W AVENUE I",
            "address_2": "SUITE 107",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935341471",
            "telephone_number": "661-948-1818",
            "fax_number": "661-948-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIYANITSA",
        "first_name": "VLADIMIR",
        "middle_name": "ANDREY",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "60762",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR5232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent King, SUDCR
• Linda Doreen Kingsley, IBCLC
• Christian Roth Kirby
• Gleenisha Marie Kirkland
• Alexis Ann Kittner
• Kevin Klapp, RPH
• Kerrie Marie Klein
• Vanessa Lynn Klein
• Richard Walter Kling, M.D.
• Frantsesca Klioumis

• Pharmacist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.