Mkrtich Michael Kirakossian, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH81599 Issued in CA

Practice address

11177 Tampa Ave Ste B
Porter Ranch, CA 91326-2254

Phone

(818) 350-3998

NPI assigned

Jun 27, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Michael Kirakossian Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1710663299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N SWALL DR APT 2",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111913",
            "telephone_number": "949-275-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11177 TAMPA AVE STE B",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262254",
            "telephone_number": "818-350-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRAKOSSIAN",
        "first_name": "MKRTICH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH81599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "KIRAKOSSIAN",
            "prefix": "DR.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Pharmacist in Porter Ranch, CA
• Providers in Porter Ranch, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.