Individual provider Active NPI

Raffi Papazian, PHARMD

  • Pharmacist
  • Glendale, CA
National Provider Identifier
1841955721
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
55608 Issued in CA
Practice address
801 S Chevy Chase Dr Ste 111
Glendale, CA 91205-4435
Phone
(818) 502-9097
Fax
(818) 502-9750
NPI assigned
Nov 4, 2021
Last updated
Nov 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 55608 CA Primary

Addresses

Primary practice location

801 S Chevy Chase Dr Ste 111
Glendale, CA 91205-4435

Mailing address

801 S Chevy Chase Dr Ste 111
Glendale, CA 91205-4435
Phone (818) 502-9097

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL raffi@gucp.com Direct

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
55608CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Pharmacy Group Inc CurrentSince Mar 26, 2023 Accepting new patients
Central Pharmacy Group Inc CurrentSince Nov 9, 2021 Accepting new patients

Locations

801 S Chevy Chase Dr
Ste 111
Glendale, CA 91205
Phone (818) 502-9097

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.

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1841955721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR STE 111",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054435",
            "telephone_number": "818-502-9097",
            "fax_number": "818-502-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR STE 111",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054435",
            "telephone_number": "818-502-9097",
            "fax_number": "818-502-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPAZIAN",
        "first_name": "RAFFI",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "raffi@gucp.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "801 S Chevy Chase Dr Ste 111",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912054435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.