Korana Avdagic, PHARMD

Primary specialty

Psychiatric PharmacistTaxonomy code 1835P1300X

License

70957 Issued in CA

Practice address

1380 Howard St
Room 130
San Francisco, CA 94103-2638

Phone

(415) 255-3659

NPI assigned

Jul 21, 2015

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

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 and National Provider Directory roles.

• CBHS Pharmacy Services

  • Methadone Clinic
  • San Francisco, CA
  • NPI 1588955074
  NPD (past)

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1558746487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 FUNSTON AVE",
            "address_2": "#307",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222161",
            "telephone_number": "702-596-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 HOWARD ST",
            "address_2": "ROOM 130",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032638",
            "telephone_number": "415-255-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVDAGIC",
        "first_name": "KORANA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "CA",
            "license": "70957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Auyoung, RN
• Serine Avagyan, MD, PHD
• John H Avakian, DDS
• Elizabeth Alison Avakoff, DO, MPH
• Avalon Home Health Inc.
• Georgette Lyn Avedikian
• Alexa Avelar
• Yesi Avelar
• Alicia Avella
• Beatriz Raquel Avendano Escobar

• Psychiatric Pharmacist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Psychiatric Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.