Active NPI
Alisa Pisikyan
- Pharmacy Technician
- North Hollywood, CA
National Provider Identifier
1720775000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 89936
- Practice address
- 12511 Magnolia Blvd
North Hollywood, CA 91607-2305 - Phone
- (818) 506-8795
- Fax
- (818) 506-8815
- NPI assigned
- Apr 18, 2023
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 89936 | CA | Primary |
Addresses
Primary practice location
12511 Magnolia Blvd
North Hollywood, CA 91607-2305
Mailing address
7806 Teesdale Ave
North Hollywood, CA 91605-2143
Phone (818) 255-6521
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 |
|---|---|---|---|
| 89936 | CA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- North Hollywood, CA
- NPI 1740399104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1720775000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7806 TEESDALE AVE",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916052143",
"telephone_number": "818-255-6521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12511 MAGNOLIA BLVD",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916072305",
"telephone_number": "818-506-8795",
"fax_number": "818-506-8815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISIKYAN",
"first_name": "ALISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-18",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "89936",
"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 Apr 18, 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.