Active NPI
Krikor K Silahian
- Community/Retail Pharmacy
- Laguna Hills, CA
National Provider Identifier
1679623078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY21045
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA194750 | Medicaid | CA |
Other names 1
- Saddleback Medical Arts Pharmacy
National Provider Directory
National Provider DirectoryNPI 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.