Larisa Maytesyan

Primary specialty

PharmacistTaxonomy code 183500000X

License

58291 Issued in CA

Practice address

1950 Bagdad Rd
Cedar Park, TX 78613-6425

Phone

(512) 528-1193

NPI assigned

Aug 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• CVS Pharmacy Inc

  • Pharmacy
  • Stafford, TX
  • NPI 1427931351
  NPD (past)
• CVS Pharmacy, Inc.

  • Pharmacy
  • Cedar Park, TX
  • NPI 1962694984
  NPD (past)

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1538717699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 BAGDAD RD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136425",
            "telephone_number": "512-528-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYTESYAN",
        "first_name": "LARISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "58291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bessy Matute
• Christy Lee Mawdsley, LAC
• Max O Kerr DDS P.C.
• Brittany May, DC
• Rochelle M Mayfield, D.C.
• Jean Chinonye Mbachu, M.D.
• Christine Ugonma Mbakwe
• Mollie McCaffrey, M.ED, BCBA, LBA
• Kristi McCaleb, D.C
• Ashley McCandless

• Pharmacist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.