Avakian, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

48020 Issued in CA

Legal business name

AVAKIAN, INC.

Practice address

22110 Roscoe Blvd
Suite 105
Canoga Park, CA 91304-3845

Phone

(818) 888-7455

Fax

(818) 888-1032

NPI assigned

Oct 10, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Leon George Avakian, PHARMD

Title

Pharmacist

Phone

(818) 888-7455

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• West Park Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750379152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD",
            "address_2": "SUITE 105",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913043845",
            "telephone_number": "818-888-7455",
            "fax_number": "818-888-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD",
            "address_2": "SUITE 105",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913043845",
            "telephone_number": "818-888-7455",
            "fax_number": "818-888-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVAKIAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AVAKIAN",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "818-888-7455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "48020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0573748",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA451550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.