Individual provider Active NPI

Nataliya Gritsyuk

  • Pharmacist
  • Antelope, CA
National Provider Identifier
1497450340
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
69798 Issued in CA
Practice address
4300 Elverta Rd
Antelope, CA 95843-6700
Phone
(916) 729-6763
Fax
(916) 729-0368
NPI assigned
Mar 31, 2023
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
69798CAMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 69798 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

4300 Elverta Rd
Antelope, CA 95843-6700

Mailing address

4300 Elverta Rd
Antelope, CA 95843-6700
Phone (916) 729-6763

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2023.

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1497450340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ELVERTA RD",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958436700",
            "telephone_number": "916-729-6763",
            "fax_number": "916-729-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ELVERTA RD",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958436700",
            "telephone_number": "916-729-6763",
            "fax_number": "916-729-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRITSYUK",
        "first_name": "NATALIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "69798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antelope, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.