Organization Active NPI

Krikor K Silahian

  • Community/Retail Pharmacy
  • Laguna Hills, CA
National Provider Identifier
1679623078
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY21045 Issued in CA
Legal business name
KRIKOR K SILAHIAN
Doing business as
Saddleback Medical Arts Pharmacy
Practice address
24953 Paseo de Valencia
#17B
Laguna Hills, CA 92653-4342
Phone
(949) 581-9840
Fax
(949) 770-7545
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Jessie Silahian, PHARM.D.
Title
Pharmacist
Phone
(949) 581-9840

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PHY21045 CA
Community/Retail Pharmacy 3336C0003X PHY21045 CA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

24953 Paseo de Valencia
#17B
Laguna Hills, CA 92653-4342

Mailing address

24953 Paseo de Valencia
#17B
Laguna Hills, CA 92653-4342
Phone (949) 581-9840

Other identifiers 1

IdentifierTypeStateIssuer
PHA194750MedicaidCA

Other names 1

  • Saddleback Medical Arts Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1679623078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA",
            "address_2": "#17B",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534342",
            "telephone_number": "949-581-9840",
            "fax_number": "949-770-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA",
            "address_2": "#17B",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534342",
            "telephone_number": "949-581-9840",
            "fax_number": "949-770-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIKOR K SILAHIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "SILAHIAN",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "949-581-9840",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY21045",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY21045",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA194750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saddleback Medical Arts Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.