Active NPI
Lily Khanzetyan, RPH
- Pharmacist
- Van Nuys, CA
National Provider Identifier
1851100747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 90669
- Practice address
- 6606 Hazeltine Ave Apt 101
Van Nuys, CA 91405-5353 - Phone
- (818) 644-2880
- NPI assigned
- Jan 6, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 90669 | CA | Primary |
Addresses
Primary practice location
6606 Hazeltine Ave Apt 101
Van Nuys, CA 91405-5353
Mailing address
6606 Hazeltine Ave Apt 101
Van Nuys, CA 91405-5353
Phone (818) 644-2880
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90669 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1851100747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6606 HAZELTINE AVE APT 101",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914055353",
"telephone_number": "818-644-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6606 HAZELTINE AVE APT 101",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914055353",
"telephone_number": "818-644-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANZETYAN",
"first_name": "LILY",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "90669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.