Active NPI
Lola Dekhkanova
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1659091635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68190
- Practice address
- 2503 Beverly Blvd
Los Angeles, CA 90057-1024 - Phone
- (213) 353-0552
- NPI assigned
- Aug 31, 2022
- 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 | 68190 | CA | Primary |
Addresses
Primary practice location
2503 Beverly Blvd
Los Angeles, CA 90057-1024
Mailing address
2503 Beverly Blvd
Los Angeles, CA 90057-1024
Phone (213) 353-0552
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pharmacist@expressrxinc.net | Direct | |
| Direct Messaging Address | pharmacist@expressrxinc.net | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 68190 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1659091635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2503 BEVERLY BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900571024",
"telephone_number": "213-353-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2503 BEVERLY BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900571024",
"telephone_number": "213-353-0552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEKHKANOVA",
"first_name": "LOLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "68190",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pharmacist@expressrxinc.net",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2503 Beverly Blvd",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900571024",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pharmacist@expressrxinc.net",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2503 Beverly Blvd",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900571024",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.