Sirekan Grigorian

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY44710 Issued in CA

Practice address

915 N Michillinda Ave
Pasadena, CA 91107-1918

Phone

(626) 351-8943

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1659435162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N MICHILLINDA AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N MICHILLINDA AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071918",
            "telephone_number": "626-351-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGORIAN",
        "first_name": "SIREKAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH48666",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY44710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA447100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dara Griffin
• Daniel Roy Grifka, DDS
• Bianca Grigorian, MD
• Mari Grigorian
• Molly Yorke Grigorian, FNP
• Mher Grigoryan, DDS
• Myron A Grigsby
• Ruby A Grijalva
• George Grimaldo
• Matthew Grimsley, CMT

• Community/Retail Pharmacy in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.