Active NPI
Kristina Malkhasova, PHARM.D.
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1619286507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64492
- Practice address
- 1515 N Vermont Ave
Suite 237
Los Angeles, CA 90027-5337 - Phone
- (323) 783-8306
- NPI assigned
- Sep 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 64492 | CA | Primary |
Addresses
Primary practice location
1515 N Vermont Ave
Suite 237
Los Angeles, CA 90027-5337
Mailing address
335 N Adams St Unit 104
Glendale, CA 91206-3807
Phone (323) 821-2882
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
| License | State | Type | Specialty |
|---|---|---|---|
| 64492 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285545600000",
"number": "1619286507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 N ADAMS ST UNIT 104",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912063807",
"telephone_number": "323-821-2882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N VERMONT AVE",
"address_2": "SUITE 237",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275337",
"telephone_number": "323-783-8306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALKHASOVA",
"first_name": "KRISTINA",
"name_prefix": "Mrs.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-27",
"last_updated": "2010-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "64492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.