Active NPI
Lusine Stepanyan
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1689456816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S026733
- Practice address
- 1855 W Thunderbird Rd
Phoenix, AZ 85023-6308 - Phone
- (602) 439-6862
- NPI assigned
- Oct 23, 2023
- Sex
- Female
- Sole proprietor
- No
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 | S026733 | AZ | Primary |
Addresses
Primary practice location
1855 W Thunderbird Rd
Phoenix, AZ 85023-6308
Mailing address
6610 N 93Rd Ave Apt 2067
Glendale, AZ 85305-3192
Phone (818) 414-6340
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 |
|---|---|---|---|
| S026733 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1689456816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6610 N 93RD AVE APT 2067",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853053192",
"telephone_number": "818-414-6340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 W THUNDERBIRD RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850236308",
"telephone_number": "602-439-6862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPANYAN",
"first_name": "LUSINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S026733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.