Individual provider Active NPI

Andranik Andy Agadjanyan, PHARMD

  • Pharmacist
  • North Hollywood, CA
National Provider Identifier
1700518180
Registry record updated Jun 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
85803 Issued in CA
Practice address
6206 Bakman Ave
North Hollywood, CA 91606-4210
Phone
(818) 331-6092
NPI assigned
Jun 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 85803 CA Primary

Addresses

Primary practice location

6206 Bakman Ave
North Hollywood, CA 91606-4210

Mailing address

6206 Bakman Ave
North Hollywood, CA 91606-4210
Phone (818) 331-6092

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
85803CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656115200000",
    "number": "1700518180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 BAKMAN AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064210",
            "telephone_number": "818-331-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 BAKMAN AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064210",
            "telephone_number": "818-331-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGADJANYAN",
        "first_name": "ANDRANIK",
        "middle_name": "ANDY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-25",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "85803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

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

Verify at the official NPI Registry.