Individual provider Active NPI

Nanik Hatsakorzian, PHARMD

  • Pharmacist
  • Fairfield, CA
National Provider Identifier
1861173114
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
70972 Issued in CA
Practice address
2817 Rockridge Dr
Fairfield, CA 94534-8624
Phone
(818) 731-7083
NPI assigned
Jul 28, 2023
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 70972 CA Primary

Addresses

Primary practice location

2817 Rockridge Dr
Fairfield, CA 94534-8624

Mailing address

2817 Rockridge Dr
Fairfield, CA 94534-8624
Phone (818) 731-7083

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
70972CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleo Home Health LLC CurrentSince Jan 21, 2024 Accepting new patients
Cleo Home Care LLC CurrentSince Feb 4, 2024 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, 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": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1861173114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCKRIDGE DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945348624",
            "telephone_number": "818-731-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCKRIDGE DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945348624",
            "telephone_number": "818-731-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATSAKORZIAN",
        "first_name": "NANIK",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "70972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.