Active NPI
Stephanie Sophia Averbukh
- Pharmacotherapy Pharmacist
- North Hills, CA
National Provider Identifier
1710480561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 67571
- Practice address
- 16673 Roscoe Blvd
North Hills, CA 91343-6109 - Phone
- (818) 781-2400
- NPI assigned
- Mar 16, 2018
- Last updated
- Mar 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 67571 | CA | Primary |
Addresses
Primary practice location
16673 Roscoe Blvd
North Hills, CA 91343-6109
Mailing address
16673 Roscoe Blvd
North Hills, CA 91343-6109
Phone (818) 781-2400
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 |
|---|---|---|---|
| 67571 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RX Unlimited Pharmacy | Past | Accepting new patients | |
| Absolute RX LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Compounding Pharmacy
- North Hills, CA
- NPI 1407920929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521158400000",
"number": "1710480561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16673 ROSCOE BLVD",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913436109",
"telephone_number": "818-781-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16673 ROSCOE BLVD",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913436109",
"telephone_number": "818-781-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERBUKH",
"first_name": "STEPHANIE",
"middle_name": "SOPHIA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2018-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "67571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.